Kevorkian, Rafi Thomas
Kevorkian, Rafi Thomas is an sole proprietor health care provider with primary practice located at 522 N New Ballas Rd Ste 317 , Saint Louis MO 63141-6840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kevorkian, Rafi Thomas can be contacted via phone (636) 634-5865.Contact Information
Primary practice address
522 N New Ballas Rd Ste 317
Saint Louis MO 63141-6840
Phone: (636) 634-5865
Fax: (636) 688-8317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 108134 | Missouri |
Profile Details
| NPI number | 1124073630 |
|---|---|
| LBN Legal business name | Kevorkian, Rafi Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 14th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124073630 | NPPES |
| Missouri | Other | P00413101 | RR MEDICARE |
| Missouri | MEDICAID | 205037823 | RR MEDICARE |
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