Joseph G Maliakkal (NPI# 1275820359, PAC ID# 2466722566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1275820359 |
| PAC ID by PECOS | 2466722566 |
| Professional Enrollment ID | I20170724000157 |
| Full Name | Joseph G Maliakkal |
| Organization Legal Name | ST LOUIS UNIVERSITY |
| Address |
1465 S Grand Blvd St Louis MO 63104-1003 |
| Phone Number | 3145775641 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 8022921964 |
| Number of Group Practice Members | 503 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 1465 S Grand Blvd, St Louis, MO 63104-1003 | 3145775641 | ST LOUIS UNIVERSITY |
| Organization Legal Name | ST LOUIS UNIVERSITY |
| Physicians | 566 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandip Singh | Orthopedic Surgery | St Louis University | 1755 S Grand Blvd, Saint Louis, MO 63104-1540 |
| Shannon M Grabosch | Gynecological Oncology | St Louis University | 3635 Vista Ave, Saint Louis, MO 63110-2539 |
| Elizabeth Walden | Nurse Practitioner | St Louis University | 3518 Laclede Ave, Saint Louis, MO 63103-2011 |
| Sandra L Pepper | Nurse Practitioner | St Louis University | 1034 S Brentwood, 1120 Slucare, Saint Louis, MO 63117-1211 |
| Matthew R Smeds | Vascular Surgery | St Louis University | 3655 Vista Ave, Saint Louis, MO 63110-2539 |
| Shubhangi S Peche | Neurology | St Louis University | 2133 Vadabalene, Maryville, IL 62062 |
| David M Picker | Pulmonary Disease | St Louis University | 3660 Vista Ave, Saint Louis, MO 63110-2540 |
| Nirav Patel | Infectious Disease | St Louis University | 3691 Rutger St, Saint Louis, MO 63110-2515 |
| Katherine J Robbins | Pathology | St Louis University | 1402 S Grand Blvd, Saint Louis, MO 63104-1004 |
| Roula Al Dahhak | Neurology | St Louis University | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 |
| Street Address |
1465 S GRAND BLVD |
| City | ST LOUIS |
| State | MO |
| Zip | 63104-1003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aki S Puryear | Orthopedic Surgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Rocio D Zeballos-chavez | Sleep Medicine | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Philippe Ja Mercier | Neurosurgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Carole A Vogler | Pathology | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Pin Yue | Anesthesiology Assistant | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Elizabeth Engel | Orthopedic Surgery | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Chetana M Reddy | Cardiovascular Disease (cardiology) | Ssm Cardinal Glennon Children's Hospital | 1465 S Grand Blvd, Cardinal Glennon Phy Billing, Saint Louis, MO 63104-1095 |
| Glen A Fenton | Neurology | St Louis University | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 |
| Renuka E Peterson | Cardiovascular Disease (cardiology) | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Rebecca Y Petersen | Pediatric Medicine | St Louis University | 1465 S Grand Blvd, St Louis, MO 63104-1003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Kutz | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Margaret K Siska | Endocrinology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| David P Dempsher | Endocrinology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Caroline T Meyer | Gastroenterology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Connie D Anderson | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Alan P Knutsen | Allergy/immunology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Matthew A Broom | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Genevieve A Delrosario | Physician Assistant | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Louis R Feldenberg | Nephrology | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Shahida R Naseer | Pediatric Medicine | St Louis University | 1465 S Grand, Saint Louis, MO 63104-1003 |
| Find all physicians in zip 63104 | |||
| City | ST LOUIS |
| Zip Code | 63104 |
| Specialty | NEUROLOGY |
| City + Specialty | ST LOUIS + NEUROLOGY |
Please comment or provide details below to improve the information on Joseph G Maliakkal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.