Dr Joseph George Maliakkal, MD | |
1465 S Grand Blvd, St. Louis, MO 63104-1003 | |
(314) 268-4101 | |
(314) 577-5379 |
Full Name | Dr Joseph George Maliakkal |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 13 Years |
Location | 1465 S Grand Blvd, St. Louis, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275820359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2017018898 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph George Maliakkal, MD 3691 Rutger Ave, St. Louis, MO 63110-2515 Ph: (314) 977-6828 | Dr Joseph George Maliakkal, MD 1465 S Grand Blvd, St. Louis, MO 63104-1003 Ph: (314) 268-4101 |
Patrick Francis Durkin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Place, 3rd Floor, Suite 3s34, St. Louis, MO 63110 Phone: 314-454-6006 | |
Donna R Halloran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379 | |
Shulamit Menashe Portnoy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-577-5609 Fax: 314-268-4028 | |
Felicia L. Harvey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 West Florissant, St. Louis, MO 63033 Phone: 314-838-8220 Fax: 314-838-8091 | |
Mary S Heaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379 | |
Dr. Kristen M Mennemeier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131 Phone: 314-569-2112 Fax: 314-569-1270 | |
Lauren Marie Hayes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 Phone: 314-577-5600 Fax: 314-577-5616 |