Individual provider · Type 1 NPI
Malak Itani, MD
Body Imaging Physician · St. Louis, MO
NPI number
1750728192
Active
Practice location
510 S Kingshighway Blvd, Dept Radiology
St. Louis, MO 63110-1016
Fax (314) 747-4189
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 2017043456 (MO) |
| Body Imaging Physician Primary | 2085B0100X | 2017043456 (MO) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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About NPI 1750728192
Malak Itani, MD's National Provider Identifier is 1750728192, issued on May 24, 2013. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.