1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Psychiatry Neurology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ASHOK R MALLYA MD
NPI 1104873116
Psychiatry & Neurology - Addiction Medicine in Saint Louis, MO

Active since May 27, 2006
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashok R Mallya Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHOK R MALLYA MD (NPI 1104873116) is an individual addiction medicine provider in Saint Louis, Missouri, licensed in Missouri (R6991) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104873116
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameASHOK R MALLYACredential: MD
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address12515 Windmoor PlSaint Louis, MO 63131-3019 · (314) 652-4100
Phone(314) 652-4100
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104873116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in MO · R6991
Definition
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
915 N GRAND BLVD, Saint Louis, MO 63106
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashok Mallya's NPI number?

The NPI number for Ashok Mallya is 1104873116. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Ashok Mallya located?

Ashok Mallya practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Ashok Mallya's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

When was this NPI record last updated?

The NPPES record for Ashok Mallya was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.