Dr. Rafi Thomas Kevorkian
Geriatric Medicine
522 N New Ballas Rd Ste 317
Saint Louis
, Missouri 63141-6840
Dr. Rafi Thomas Kevorkian
Geriatric Medicine
522 N New Ballas Rd Ste 317
Saint Louis
, Missouri 63141-6840
(636) 634-5865
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Rafi Thomas Kevorkian
- 522 N New Ballas Rd Ste 317
- Saint Louis, MO
- Zip : 63141-6840
- Phone : (636) 634-5865
Second Address
- Dr. Rafi Thomas Kevorkian
- 522 N New Ballas Rd Ste 317
- Saint Louis, MO
- Zip : 63141-6840
- Fax : (636) 688-8317
- Phone : (636) 634-5865
Reviews
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What type of doctor is Dr. Rafi Thomas Kevorkian
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Is Dr. Rafi Thomas Kevorkian a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 108134 | MO |
National Provider Identifier
| NPI | 1124073630 |
|---|---|
| Provider Name | Dr. Rafi Thomas Kevorkian |
| First Address | Saint Louis, MO 63141-6840 |
| Second Address | Saint Louis, MO 63141-6840 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2006 |
| Last Update Date | 14/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 205037823 | (05) | MO |
| G97365 | (02) | MO |
| P00413101 | RR MEDICARE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.