Individual
DR. DORAIRAJ SURESH
Active
Individual
DR. DORAIRAJ SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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