Individual
MR. CHANDRA B. DOMMARAJU
Active
Individual
MR. CHANDRA B. DOMMARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
106962
MO
207RI0200X
Infectious Disease Physician
MO106962
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205115322
—
MO
Enumeration date
07/04/2006
Last updated
04/14/2021
Update your record
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