Provider Demographics
NPI:1467550491
Name:SALUJA, RAJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJIT
Middle Name:
Last Name:SALUJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4448 W LOOMIS RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220
Mailing Address - Country:US
Mailing Address - Phone:414-817-9959
Mailing Address - Fax:414-817-9958
Practice Address - Street 1:4448 W LOOMIS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220
Practice Address - Country:US
Practice Address - Phone:414-817-9959
Practice Address - Fax:414-817-9958
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI38496207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32331000Medicaid
F64043Medicare UPIN
WI000001419Medicare PIN
WI32331000Medicaid