Individual
DR. JOSEPH GEORGE MALIAKKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, ST. LOUIS, MO 63104-1003
(314) 268-4101
(314) 577-5379
Mailing address
3691 RUTGER AVE, ST. LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017018898
MO
Other
Enumeration date
07/08/2011
Last updated
07/21/2022
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