Organization
CARDINAL CARDIOVASCULAR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFNAN TARIQ MD (MEMBER)
(314) 827-4701
Entity
Organization
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 827-4701
Mailing address
1103 HIGHLAND POINTE DR, SAINT LOUIS, MO 63131-1420
(314) 827-4701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
07/11/2021
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