Individual
DR. RAFI THOMAS KEVORKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
108134
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205037823
—
MO
01
—
P00413101
RR MEDICARE
MO
Enumeration date
05/23/2006
Last updated
10/14/2015
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