Healthcare Provider Details

I. General information

NPI: 1447400551
Provider Name (Legal Business Name): RAJIT SALUJA M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 W RAWSON AVE SUITE 225
FRANKLIN WI
53132-8278
US

IV. Provider business mailing address

7400 W RAWSON AVE SUITE 225
FRANKLIN WI
53132-8278
US

V. Phone/Fax

Practice location:
  • Phone: 414-425-8232
  • Fax: 414-425-8234
Mailing address:
  • Phone: 414-425-8232
  • Fax: 414-425-8234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number38496
License Number StateWI

VIII. Authorized Official

Name: DR. RAJIT SALUJA
Title or Position: M.D.
Credential: M. D.
Phone: 414-425-8232