Individual
DR. JAMAL MAKHOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 CHIPPEWA ST, SAINT LOUIS, MO 63116-1611
(314) 449-9730
(314) 449-9731
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
109410
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
109410
MO
208M00000X
Hospitalist Physician
109410
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205292618
—
MO
Enumeration date
12/23/2005
Last updated
04/23/2026
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