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Individual

RAJESHWAR K LUTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11615 OLIVE BLVD, SAINT LOUIS, MO 63141-7095
(314) 993-9555
(314) 432-0178
Mailing address
PO BOX 411515, SAINT LOUIS, MO 63141-3515
(314) 333-6750
(314) 432-0178

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036059542
IL
2085R0202X
Diagnostic Radiology Physician
Primary
35905
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201369220
MO
01
300102468
RAILROAD MEDICARE
MO
01
300102479
RAILROAD MEDICARE
MO
01
300105149
RAILROAD MEDICARE
IL
Enumeration date
07/17/2006
Last updated
10/14/2011
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