Dave, Raj C

Dave, Raj C is an individual health care provider with primary practice located at 4901 Raleigh Common Drive Suite 100, Memphis TN 38128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Dave, Raj C can be contacted via phone (901) 371-9040.

Contact Information

Primary practice address
4901 Raleigh Common Drive Suite 100 Memphis TN 38128
Phone: (901) 371-9040
Fax: (901) 371-9258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 24507 Tennessee
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 15928 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X E0811 Arkansas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD24507 Tennessee

Profile Details

NPI number 1508851510
LBN Legal business name Dave, Raj C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Aug 26th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508851510 NPPES
Tennessee MEDICAID 3076105
Tennessee Other 4018806

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