location
search-icon
person
Bassam Malo, MD
Neurology Physician in Fenton, Missouri
NPI 1205148293

Bassam Malo is a Neurology Physician based in Saint Louis, MO and is specialized in Neurology. Bassam Malo practices in Fenton, MO and has the professional credentials of MD. The NPI Number for Bassam Malo is 1205148293 and holds a License No. 2010019819 (Missouri).

The current practice location address for Bassam Malo is 1055 Bowles Ave Ste 200, Fenton, MO and can be reached out via phone at 636-496-3900.

Location: 1055 Bowles Ave Ste 200, Fenton, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205148293
Provider Name
Bassam Malo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 Bowles Ave Ste 200, Fenton, MO, 63195-5534
Phone Number
636-496-3900
Fax Number
Provider Enumeration Date
07/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1055 Bowles Ave Ste 200
City
Fenton
State
Missouri
Zip
63026-2308
Phone Number
636-496-3900
Fax Number
person
Provider Business Mailing Address Details
Address
1055 Bowles Ave Ste 200
City
Fenton
State
Missouri
Zip
63026-2308
Phone Number
636-496-3900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
2014020140 (Missouri)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2010019819 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.