# VIKRAM DURAIRAJ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1508009960
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | Q4391 | TX | — |
| 207Q00000X | Family Medicine Physician | E-7644 | AR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | AR | — |

## Other

- **Enumeration date:** 04/15/2009
- **Last updated:** 09/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 348429703 | — | TX |
| 05 | — | 348429704 | — | TX |
| 01 | — | 8FG872 | BCBS | TX |