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Bassam Malo, M.D. — NPI 1205148293, Fenton, MO | NPI Central

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NPI 1205148293

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Bassam Malo, M.D.

NPI 1205148293 · Neurology Physician · Fenton, MO

Provider details

NPI number: 1205148293
Entity type: Individual
Primary specialty: Neurology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 2010019819 (MO)

Practice location

1055 Bowles Ave Ste 200

Fenton, MO 63026-2308

Phone: (636) 496-3900

More MO providers

Mailing address

Po Box 955534

Saint Louis, MO 63195-5534

Registry dates

Enumerated: 2010-07-08
Last updated: 2020-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.