Provider Demographics
NPI:1760583355
Name:SITJAR, JULIUS SALAZAR (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:SALAZAR
Last Name:SITJAR
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 1:2671 FT WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975
Mailing Address - Country:US
Mailing Address - Phone:574-223-4141
Mailing Address - Fax:574-223-8901
Practice Address - Street 1:2671 FT WAYNE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975
Practice Address - Country:US
Practice Address - Phone:574-223-3627
Practice Address - Fax:574-223-6337
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01036012A207R00000X
IN01036012207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1001184804Medicaid
B28689Medicare UPIN
IN270750Medicare ID - Type Unspecified