Provider Demographics
NPI:1265529630
Name:SAJID, RAJ M (MD)
Entity type:Individual
Prefix:DR
First Name:RAJ
Middle Name:M
Last Name:SAJID
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:415 W MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-3043
Mailing Address - Country:US
Mailing Address - Phone:618-344-0071
Mailing Address - Fax:618-344-7793
Practice Address - Street 1:415 W MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:COLLINSVILLE
Practice Address - State:IL
Practice Address - Zip Code:62234-3043
Practice Address - Country:US
Practice Address - Phone:618-344-0071
Practice Address - Fax:618-344-7793
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2024-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2008026704207Q00000X, 207P00000X
IL036-115808207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036115808-3Medicaid
MO1265529630Medicaid
IL036115808-4Medicaid
MO1265529630Medicaid
IL567730002Medicare PIN