Individual
DR. RAJA DAVID
Active
Individual
DR. RAJA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4499
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041063
P1
MN
01
—
131657
UC
MN
01
—
233024
CP
MN
01
—
260K5DA
BCBS
MN
01
—
40889
HP
MN
Enumeration date
07/14/2006
Last updated
07/08/2007
Update your record
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