NPI 1750310439 · live from the CMS NPI Registry
Amal F Antoun, M.D.
Pediatrics, Adolescent Medicine in Saint Louis, MO. National Provider Identifier 1750310439, active.
NPI record
| NPI | 1750310439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1717 Biddle St, Saint Louis, MO 63106 |
| Practice phone | 314-814-8531 |
| Mailing address | Po Box 551, Saint Louis, MO 63188 |
| Enumerated | July 3, 2006 |
| Last updated | May 10, 2017 |
| Sole proprietor | No |
| Other names | Amal Ghaly |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | MO 36283 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.