David, Raja

David, Raja is an individual health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. David, Raja can be contacted via phone (651) 777-5222.

Contact Information

Primary practice address
7066 Stillwater Blvd N Oakdale MN 55128-3937
Fax: (651) 251-5111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4499 Minnesota

Profile Details

NPI number 1629094867
LBN Legal business name David, Raja
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1629094867 NPPES
Minnesota Other 131657 UC
Minnesota Other 233024 UC
Minnesota Other 1041063 UC
Minnesota Other 40889 UC
Minnesota Other 260K5DA UC

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