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Organization

CARDIOVASCULAR CARE & IMAGING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DILIP H PATEL M.D. (OWNER)
(314) 849-0111
Entity
Organization

Contact information

Practice address
10004 KENNERLY RD, SUITE 171B, SAINT LOUIS, MO 63128-2141
(314) 849-0111
(314) 849-0412
Mailing address
PO BOX 952768, SAINT LOUIS, MO 63195-2768
(314) 849-0111
(314) 849-0412

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R8D96
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202052007
MO
Enumeration date
03/30/2009
Last updated
03/30/2009
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  • EDI platform