ALI AYMAN JAMAL


Address: 1465 S Grand Blvd, Room 1204, Saint Louis, MO 63104
Phone: 3145775600

ALI AYMAN JAMAL (NPI# 1184980716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184980716
Entity Type Individual
Full Name ALI AYMAN JAMAL
Credential M.D.
Practice Address 1465 S Grand Blvd
Room 1204
Saint Louis
MO 63104
Mailing Address 1465 S Grand Blvd
Room 1204
Saint Louis
MO 63104-1003
Practice Telephone 3145775600
Practice Fax Number 3145775616
Mailing Telephone 3145775600
Mailing Fax Number 3145775616
Enumeration Date 2012-04-09
Last Update Date 2018-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
2018014208 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1465 S GRAND BLVD
ROOM 1204
City SAINT LOUIS
State MO
Zip Code 63104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528676921 Gunjanpreet Kaur Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-07-21
1972128510 Millicent Rose Palacios Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-06-09
1083241863 Nathaniel Joseph Conner Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1467089177 Stacy Kollanur Mathews Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1568099299 Susan Aye Mya Oo Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1861029514 Gregory Joseph Weissler II Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1154958874 Brendan Michael Mcenery Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1316574049 Satvika Mikkilineni Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1972130607 Katherine Letha Randolph Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1346877081 Samuel Ryan Richey Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356478705 Robin Chanel Ryther Psychiatry & Neurology 1 Childrens Pl Ste D, Ste D, Saint Louis, MO 63110-1002 2007-02-27
1538542329 Benjamin Paul Kay Psychiatry & Neurology 1 Barnes Jewish Hospital Plz, 1st Fl, Pediatric Neurology, Saint Louis, MO 63110-1003 2015-06-30
1023499001 Regina Lindsay Triplett Psychiatry & Neurology 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 2015-06-15
1881034866 Shannon Christine Agner Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2013-07-05
1497195960 Oleg V Lobanov Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2013-06-28
1497199640 Keisuke Ueda Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2013-04-18
1821353756 Bhooma Rajagopalan Aravamuthan Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2012-07-06
1437413598 Jennifer Lynn Griffith Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2012-07-03
1215291653 Robert John Rudock II Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2012-06-29
1073888186 Sarah Louise Bauer Huang Psychiatry & Neurology 1 Childrens Pl, Saint Louis, MO 63110-1002 2012-03-22
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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