Malo, Bassam

Malo, Bassam is an individual health care provider with primary practice located at 1055 Bowles Ave Ste 200 , Fenton MO 63026-2308. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Malo, Bassam can be contacted via phone (636) 496-3900.

Contact Information

Primary practice address
1055 Bowles Ave Ste 200 Fenton MO 63026-2308
Phone: (636) 496-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 2010019819 Missouri
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2014020140 Missouri

Profile Details

NPI number 1205148293
LBN Legal business name Malo, Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated Nov 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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