# COMPREHENSIVE CARDIOVASCULAR CONSULTANTS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205123387
- **Authorized official:** DR. RAFFI KRIKORIAN MD (OWNER)
- **Authorized official phone:** (314) 849-0923

## Contact information

- **Practice address:** 3760 S LINDBERGH BLVD, SUITE 101, SAINT LOUIS, MO 63127-1374
- **Practice address phone:** (314) 849-0923
- **Practice address fax:** (314) 849-5716
- **Mailing address:** 3760 S LINDBERGH BLVD, SUITE 101, SAINT LOUIS, MO 63127-1374
- **Mailing address phone:** (314) 849-0923
- **Mailing address fax:** (314) 849-5716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | MDR4P45 | MO | Yes |

## Other

- **Enumeration date:** 07/08/2011
- **Last updated:** 07/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DG2079 | RAILROAD MEDICARE | MO |
| 01 | — | IL1797 | IL MEDICARE IDTF PTAN | IL |
| 01 | — | MA1570 | MO MEDICARE IDTF PTAN | MO |