Imaad Razzaque (NPI# 1194013425, PAC ID# 1052669017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1194013425 |
| PAC ID by PECOS | 1052669017 |
| Professional Enrollment ID | I20180807003609 |
| Full Name | Imaad Razzaque |
| Organization Legal Name | ST LOUIS CARDIOLOGY CONSULTANTS LTD |
| Address |
11125 Dunn Rd Suite 204 Saint Louis MO 63136-6188 |
| Phone Number | 3148395125 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 6608769245 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| 260005 | SSM ST JOSEPH HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2 Memorial Dr, Suite 102, Alton, IL 62002-6723 | 6184626612 | ST LOUIS CARDIOLOGY CONSULTANTS LTD |
| 12255 De Paul Dr, Suite 400, Bridgeton, MO 63044-2510 | 3142182300 | SSM MEDICAL GROUP INC |
| 100 Medical Plz, Lake Saint Louis, MO 63367-1366 | 6366255200 | SSM HEALTH CARE ST LOUIS |
| 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 6369475000 | SSM HEALTH CARE ST LOUIS |
| 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 | 3148395125 | ST LOUIS CARDIOLOGY CONSULTANTS LTD |
| Organization Legal Name | ST LOUIS CARDIOLOGY CONSULTANTS LTD |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lalithkumar K Chouhan | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Rama K Gondi | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Robert G Lutan | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Saad R Bitar | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Samer Thanavaro | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| John M Pargulski | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Thomas R King | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Suresh K Narayanan | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Shelly M Hanko | Nurse Practitioner | St Louis Cardiology Consultants Ltd | 1 Memorial Dr, Alton, IL 62002-6722 |
| Bharat J Shah | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 2 Memorial Dr, Suite 102, Alton, IL 62002-6723 |
| Street Address |
11125 DUNN RD SUITE 204 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63136-6188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gena Loraine Napier | Family Medicine | Physician Groups Lc | 11125 Dunn Rd, Suite 406, Saint Louis, MO 63136-6132 |
| Lalithkumar K Chouhan | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Jacques S Van Ryn | Orthopedic Surgery | Physician Groups Lc | 11125 Dunn Rd, Saint Louis, MO 63136-6132 |
| Kelsie Anne Watson | Nurse Practitioner | Physician Groups Lc | 11125 Dunn Rd, Suite 406, Saint Louis, MO 63136-6132 |
| Rama K Gondi | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Cody Basciano | Nurse Practitioner | Physician Groups Lc | 11125 Dunn Rd, Suite 406, Saint Louis, MO 63136-6132 |
| Robert G Lutan | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Catherine Elizabeth Roane-blaker | Obstetrics/gynecology | Physician Groups Lc | 11125 Dunn Rd, Suite 406, Saint Louis, MO 63136-6132 |
| Saad R Bitar | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Samer Thanavaro | Cardiovascular Disease (cardiology) | St Louis Cardiology Consultants Ltd | 11125 Dunn Rd, Suite 204, Saint Louis, MO 63136-6188 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanika C Mcclary | Nurse Practitioner | 10135 W Florissant Ave, Saint Louis, MO 63136-2103 | |
| Bhajan S Dara | Internal Medicine | Metro St Louis Renal Services Inc | 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Akinrinola Fatoki | Family Medicine | 2880 Netherton Dr, Suite 200, Saint Louis, MO 63136-4649 | |
| Reynal L Caldwell | General Practice | 2880 Netherton Dr, Suite 103, Saint Louis, MO 63136-4649 | |
| Meredith A Schoene | Nurse Practitioner | David J. Pernikoff, Md, PC | 2865 Netherton, St Louis, MO 63136-4674 |
| Juan O Carden | Hematology/oncology | 2865 Netherton Dr, Saint Louis, MO 63136-4674 | |
| Kamil Dostalik | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Steven M Mense | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Michael P Tuckey | Physical Therapy | Physical Therapy Consultants, Inc | 2865 Netherton Dr, Saint Louis, MO 63136-4674 |
| Find all physicians in zip 63136 | |||
| City | SAINT LOUIS |
| Zip Code | 63136 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SAINT LOUIS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Imaad Razzaque.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.