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ST LOUIS CARDIOLOGY CONSULTANTS LTD NPI 1386809663


NPI Information

NPI: 1386809663
Provider Name: ST LOUIS CARDIOLOGY CONSULTANTS LTD
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
11133 DUNN RD
SUITE 2346
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 653-5125
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ST LOUIS CARDIOLOGY CONSULTANTS LTD is a cardiovascular disease internal medicine in Saint Louis, MO. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST LOUIS CARDIOLOGY CONSULTANTS LTD NPI is 1386809663. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11133 DUNN RD
SUITE 2346
SAINT LOUIS, MO
ZIP 63136-119
Phone: (314) 653-5125
Fax: (314) 653-4321

The provider's authorized official is Samer Thanavaro .
The authorized official title is President and has the following contact phone number (314) 653-5824.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 8/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000011207MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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