Individual provider · Type 1 NPI

Elie C. Azrak, MD

Cardiovascular Disease Physician · Bridgeton, MO

NPI number 1962495952 Active

Practice location

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514

Mailing address

PO Box 955534
St. Louis, MO 63195-6119

Other practice locations

  • 11133 Dunn Rd, Suite 2346, St. Louis, MO 63136-6119 · (314) 653-5125

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X036110194 (IL)
Cardiovascular Disease Physician Primary 207RC0000X106181 (MO)

Cardiovascular Disease Physician: 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.

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About NPI 1962495952

Elie C. Azrak, MD's National Provider Identifier is 1962495952, issued on Aug 25, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 19, 2020.