Healthcare Provider Details

I. General information

NPI: 1902851355
Provider Name (Legal Business Name): MADHU SALVAJI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6316 W UNION HILLS DR STE 210
GLENDALE AZ
85308-1001
US

IV. Provider business mailing address

1430 ROBIN LN
SCOTCH PLAINS NJ
07076-2425
US

V. Phone/Fax

Practice location:
  • Phone: 480-765-2800
  • Fax: 480-765-2799
Mailing address:
  • Phone: 908-601-5826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMB072684
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMB072684
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: