Ashok R Mallya, MD
NPI #1104873116 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1104873116
- Entity Type
- Individual
- Name
- Ashok R Mallya, MD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Psychiatry & Neurology - Addiction Medicine
- Credential
- MD
- Enumeration Date
- May 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 915 N GRAND BLVD
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63106-1621
- Phone
- (314) 652-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Addiction Medicine — Addiction Medicine |
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