Individual
DR. RAJAN SANTHAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13013 FULLER AVE STE A, GRANDVIEW, MO 64030-2687
(816) 214-5548
Mailing address
1401 HORIZON CT, BELLE ISLE, FL 32809-6187
(781) 454-5427
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2020035854
MO
Other
Enumeration date
07/04/2021
Last updated
07/04/2021
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