Individual provider · Type 1 NPI
Ashok R. Mallya, MD
Addiction Medicine (Psychiatry & Neurology) Physician · St. Louis, MO
Practice location
915 N Grand Blvd
St. Louis, MO 63106-1621
Mailing address
12515 Windmoor Pl
St. Louis, MO 63131-3019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | R6991 (MO) |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1104873116
Ashok R. Mallya, MD's National Provider Identifier is 1104873116, issued on May 27, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.