Suresh, Dorairaj

Suresh, Dorairaj is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Suresh, Dorairaj can be contacted via phone (913) 642-4900.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Fax: (913) 381-0979
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 104918 Missouri

Profile Details

NPI number 1548238553
LBN Legal business name Suresh, Dorairaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 13th, 2012 - about 12 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 1548238553 NPPES
Missouri MEDICAID 1548238553
Missouri Other 29545021
Missouri Other 7480136
Missouri MEDICAID 10026089700
Missouri Other 50081030
Missouri MEDICAID 1548238553
Missouri Other 254719002

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