Provider Demographics
NPI:1588854244
Name:SAHULEE, RAJ (DO)
Entity Type:Individual
Prefix:DR
First Name:RAJ
Middle Name:
Last Name:SAHULEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:RAJ
Other - Middle Name:
Other - Last Name:SAHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1915
Mailing Address - Country:US
Mailing Address - Phone:917-689-7939
Mailing Address - Fax:
Practice Address - Street 1:155 POLIFLY RD STE 106
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1749
Practice Address - Country:US
Practice Address - Phone:201-441-9980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60245395208000000X
NJ25MB094882002080P0202X
NY2453952080P0202X
PAOS0161632080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics