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Contact Information

TAMMAM N AL JOUNDI, MD
10012 KENNERLY ROAD
SUITE 301
SAINT LOUIS, MO63128
 Phone: 314-729-0088
 Fax: 314-729-3963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TAMMAM N AL JOUNDI · (Male)

NPI Number 1255387494
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 07/25/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036103650
  • MO License # 111666
  • MO Medicaid 208626523
  • IL Other 04232002 BCBS
  • MO Other 2358779 AETNA
  • MO Other 129698 BCBS
  • MO Other 127029 CARE PARTNERS
  • MO Other 6325641 CIGNA HMO PPO OPEN ACCESS
  • MO Other 6325641001 CIGNA PAL REFERRAL
  • MO Other 12557 ESSENCE HEALTHCARE
  • MO Other 21263 EXCLUSIVE CHOICE
  • MO Other 1840134 FIRST HEALTH NETWORK
  • MO Other 61903 GROUP HEALTH PLAN
  • MO Other 37625 HEALTHCARE USA
  • MO Other 441679 HEALTHLINK
  • MO Other G44678 MERCY HEALTH PLAN
  • MO Other 2500250 UNITED HEALTH CARE
Hospital affiliation(s)
  • CHRISTIAN HOSPITAL NORTHEAST - (Acute Care)
    11133 DUNN ROAD
    SAINT LOUIS, MO 63136
  • DES PERES HOSPITAL - (Acute Care)
    2345 DOUGHERTY FERRY ROAD
    SAINT LOUIS, MO 63122
  • JERSEY COMMUNITY HOSPITAL - (Acute Care)
    400 MAPLE SUMMIT ROAD
    JERSEYVILLE, IL 62052
  • ST ANTHONY'S MEDICAL CENTER - (Acute Care)
    10010 KENNERLY ROAD
    SAINT LOUIS, MO 63128
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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