Makhoul, Jamal
Makhoul, Jamal is an individual health care provider with primary practice located at 6065 Helen Ave , Saint Louis MO 63134-2013. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Makhoul, Jamal can be contacted via phone (314) 522-6410.Contact Information
Primary practice address
6065 Helen Ave
Saint Louis MO 63134-2013
Phone: (314) 522-6410
Fax: (314) 522-0281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 109410 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 109410 | Missouri |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 109410 | Missouri |
Profile Details
| NPI number | 1114904745 |
|---|---|
| LBN Legal business name | Makhoul, Jamal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Aug 8th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114904745 | NPPES |
| Missouri | MEDICAID | 205292618 |
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