Individual
DR. RAFI THOMAS KEVORKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
522 N NEW BALLAS RD STE 317, SAINT LOUIS, MO 63141-6840
(636) 634-5865
(636) 688-8317
Mailing address
522 N NEW BALLAS RD STE 317, SAINT LOUIS, MO 63141-6840
(636) 634-5865
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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