Provider Demographics
NPI:1164498523
Name:SALUJA, DARSHAN SINGH
Entity Type:Individual
Prefix:DR
First Name:DARSHAN
Middle Name:SINGH
Last Name:SALUJA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1431
Mailing Address - Country:US
Mailing Address - Phone:410-358-6450
Mailing Address - Fax:410-358-8511
Practice Address - Street 1:1600 W MOUNT ROYAL AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-4418
Practice Address - Country:US
Practice Address - Phone:410-462-5666
Practice Address - Fax:410-383-2084
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017537207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD7307OtherCAREFIRST BLUECROSS BLUE SHIELD
MD008771800Medicaid
MD008771800Medicaid
MD7307OtherCAREFIRST BLUECROSS BLUE SHIELD