Individual
DR. DORAIRAJ SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(913) 642-4900
(913) 381-0979
Mailing address
PO BOX 410245, KANSAS CITY, MO 64141-0245
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
104918
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026089700
—
NE
05
—
1548238553
—
IA
05
—
1548238553
—
MO
01
—
254719002
CIGNA
MO
01
—
29545021
BCBSKC
MO
01
—
50081030
RR MEDICARE
MO
01
—
7480136
AETNA
MO
Enumeration date
03/08/2006
Last updated
06/13/2012
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