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Individual

DR. RAJIV LAKSHAN YOGENDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 63104-1004
(314) 977-9853
Mailing address
4643 LINDELL BLVD APT 923, SAINT LOUIS, MO 63108-3735
(347) 607-6040

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021013634
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/18/2018
Last updated
05/17/2021
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