Individual provider · Type 1 NPI

Bassam Malo, MD

Neurology Physician · Fenton, MO

NPI number 1205148293 Active

Practice location

1055 Bowles Ave Ste 200
Fenton, MO 63026-2308

Call (636) 496-3900 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 1438 S Grand Blvd, St. Louis, MO 63104-1027 · (314) 977-4828

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X2010019819 (MO)
Neurology Physician Primary 2084N0400X2014020140 (MO)

Neurology Physician: 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.

8 other providers at this address

About NPI 1205148293

Bassam Malo, MD's National Provider Identifier is 1205148293, issued on Jul 8, 2010. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Fenton, MO. The record was last updated on Nov 16, 2020.