Raj, David Lourdu
Raj, David Lourdu is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Raj, David Lourdu can be contacted via phone (573) 884-7770.Contact Information
Primary practice address
One Hospital Dr
Columbia MO 65212-0001
Phone: (573) 884-7770
Fax: (573) 882-9876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD453837 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2022047337 | Missouri |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 2022047337 | Missouri |
Profile Details
| NPI number | 1508091893 |
|---|---|
| LBN Legal business name | Raj, David Lourdu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2009 |
| Last updated | Jan 9th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508091893 | NPPES |
| Missouri | MEDICAID | 200117918 | |
| Missouri | MEDICAID | 103018404 |
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