Individual
DR. RAJINDER M. GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
2005023119
MO
2085R0202X
Diagnostic Radiology Physician
2005023119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-660634
IL BLUE CROSS BLUE SHIELD
IL
05
—
036060634-4
—
IL
01
—
063896
HEALTH ALLIANCE
—
01
—
123361
HEALTHLINK
—
01
—
185214
MO BLUE CROSS BLUE SHIELD
—
05
—
207354705
—
MO
01
—
430954380CAP
MERCY HEALTH PLAN
—
Enumeration date
07/29/2006
Last updated
11/13/2013
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