Healthcare Provider Details

I. General information

NPI: 1427076348
Provider Name (Legal Business Name): RITU SALUJA-SHARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD EMERGENCY DEPARTMENT
FALLS CHURCH VA
22042-3307
US

IV. Provider business mailing address

PO BOX 75567
BALTIMORE MD
21275-5567
US

V. Phone/Fax

Practice location:
  • Phone: 703-698-3111
  • Fax: 904-346-0113
Mailing address:
  • Phone: 703-205-9790
  • Fax: 904-346-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0101239656
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: