Individual
DR. AIYASAWMY DAVE DORAIRAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5915
Mailing address
1313 HERMANN DR, HOUSTON, TX 77004-7005
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
307570
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
S6161
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
09/26/2021
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