Individual
SANTOSH RAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-7880
(618) 256-6558
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-9000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2179
NE
Other
Enumeration date
04/12/2018
Last updated
08/10/2025
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