Individual
DR. MAGED HAIKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 S WOODS MILL RD, SUITE 500 NORTH, CHESTERFIELD, MO 63017-3625
(314) 205-6699
(314) 590-5923
Mailing address
222 S WOODS MILL RD, SUITE 500 NORTH, CHESTERFIELD, MO 63017-3625
(314) 205-6699
(314) 205-6985
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35809
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202293
BCBS
MO
05
—
204715601
—
MO
01
—
268240
GHP
MO
01
—
P00286513
MEDICARE RAILROAD
MO
Enumeration date
04/26/2006
Last updated
12/14/2017
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