Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles J. Mallo, MD

Individual provider Specialist · NPI 1558333492

Dr. Charles J. Mallo, MD is a Specialist in Oak Ridge, Tennessee. Practices as a sole proprietor. Licensed in New York and Tennessee.

Licensed in
NY, TN
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

988 Oak Ridge Tpke Ste 350
Oak Ridge, TN 37830-6930
Phone: (865) 483-7030
Fax: (865) 483-3954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 49148 (TN)
Specialist Taxonomy 174400000X · Licence 132331-1 (NY)
Surgery Physician Taxonomy 208600000X · Licence 132331 (NY)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 132331 (NY)

Record details

NPI number1558333492
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 5, 2006
Last updated in NPPESMay 29, 2014

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