Individual
DAVID LOURDU RAJ
Active
Individual
DAVID LOURDU RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
2022047337
MO
2085R0202X
Diagnostic Radiology Physician
2022047337
MO
2085R0202X
Diagnostic Radiology Physician
MD453837
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103018404
—
PA
05
—
200117918
—
MO
Enumeration date
05/15/2009
Last updated
01/09/2023
Update your record
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