Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Malak Itani, MD

Individual provider Nuclear Medicine Physician · NPI 1750728192

Dr. Malak Itani, MD is a Diagnostic Radiology in Saint Louis, Missouri. Qualified in 2007, 19 years ago. Practices with Miracl LLC, a 97-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
19
Licensed in
MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

510 S Kingshighway Blvd Dept Radiology
Saint Louis, MO 63110-1016
Phone: (314) 362-7200
Fax: (314) 747-4189
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence 2017043456 (MO)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 2017043456 (MO)

Record details

NPI number1750728192
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2013
Last updated in NPPESApril 17, 2025
Mailing addressPo Box 7412011, Chicago, IL 60674-2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Miracl Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis