IndividualActive
Ashok Mallya, MD
NPI 1104873116 · Addiction Medicine (Psychiatry & Neurology) Physician · Saint Louis, MO
Provider details
- NPI number
- 1104873116
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- R6991 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone: (314) 652-4100
Approximate (ZIP-level) locationGet directions
Mailing address
12515 Windmoor Pl
Saint Louis, MO 63131-3019
Registry dates
- Enumerated
- 2006-05-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.