ASHOK R MALLYA

SAINT LOUIS, MO
NPI1104873116
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy2084A0401X Psychiatry & Neurology Addiction Medicine
(Licence: MO  R6991)
Enumeration Date2006-05-27
Last Update Date2007-07-08
Business Address
ASHOK R MALLYA MD
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
Mailing Address
ASHOK R MALLYA MD
12515 WINDMOOR PL
SAINT LOUIS, MO 63131-3019
Phone number: 314-652-4100
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