Provider Demographics
NPI:1629686571
Name:SALUJA, PRACHI
Entity Type:Individual
Prefix:DR
First Name:PRACHI
Middle Name:
Last Name:SALUJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 RIVERFRONT DR APT 424
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-2219
Mailing Address - Country:US
Mailing Address - Phone:501-319-3618
Mailing Address - Fax:
Practice Address - Street 1:2400 RIVERFRONT DR APT 424
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-2219
Practice Address - Country:US
Practice Address - Phone:501-319-3618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program