ASHOK R. MALLYA MD – NPI #1104873116
Psychiatry & Neurology

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

ASHOK MALLYA is a psychiatry & neurologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1104873116 to ASHOK MALLYA on May 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASHOK MALLYA below.

NPI Profile for
ASHOK R. MALLYA

NPI Number
1104873116
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ASHOK R. MALLYA
Credentials
MD
Primary location
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone: (314) 652-4100 Fax:
Mailing address
12515 WINDMOOR PL
SAINT LOUIS, MO 63131-3019
Phone: (314) 652-4100 Fax:
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)
MO R6991

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.