Individual
RAJ C DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 RALEIGH COMMON DRIVE, SUITE 100, MEMPHIS, TN 38128
(901) 371-9040
(901) 371-9258
Mailing address
4901 RALEIGH COMMON DR, STE 100, MEMPHIS, TN 38128-2478
(901) 371-9040
(901) 371-9258
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
15928
MS
207RI0011X
Interventional Cardiology Physician
24507
TN
207RI0011X
Interventional Cardiology Physician
E0811
AR
207RI0011X
Interventional Cardiology Physician
Primary
MD24507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076105
—
TN
01
—
4018806
BCBS
—
Enumeration date
09/15/2005
Last updated
08/26/2014
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