Individual
MR. JAMAL A ZEREIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1259
Mailing address
1333 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2046
(417) 967-3311
(417) 967-1259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
119678
MO
208000000X
Pediatrics Physician
119678
MO
208D00000X
General Practice Physician
119678
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437104999
—
MO
05
—
204664015
—
MO
01
—
26D0446923
CLIA
MO
01
—
G99887
UPIN
MO
Enumeration date
05/23/2006
Last updated
05/03/2021
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