Provider Demographics
NPI:1386635084
Name:SALUJA, MANVEEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:MANVEEN
Middle Name:K
Last Name:SALUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1380 COOLIDGE HWY
Mailing Address - Street 2:STE 150
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-7069
Mailing Address - Country:US
Mailing Address - Phone:248-677-4700
Mailing Address - Fax:248-655-0144
Practice Address - Street 1:1380 COOLIDGE HWY
Practice Address - Street 2:STE 150
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7069
Practice Address - Country:US
Practice Address - Phone:248-677-4700
Practice Address - Fax:248-655-0144
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301056405207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1106336322Medicaid
MI1106336322Medicaid
G16143Medicare UPIN
MI0P22520001Medicare PIN
OM98290Medicare ID - Type Unspecified