Individual
DR. TIMOTHY DEVRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70411 HIGHWAY 21, COVINGTON, LA 70433-8243
(985) 400-5566
(985) 400-5560
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9244
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.024162
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024162
STATE LICENSE
LA
01
—
030358
STATE NARCOTICS LICENSE
LA
05
—
1572365
—
LA
Enumeration date
07/07/2006
Last updated
03/07/2023
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