Provider Demographics
NPI:1922074913
Name:SALUJA, JASBIR KAUR (MD)
Entity Type:Individual
Prefix:MRS
First Name:JASBIR
Middle Name:KAUR
Last Name:SALUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:81800 DR CARREON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5595
Mailing Address - Country:US
Mailing Address - Phone:760-347-2665
Mailing Address - Fax:760-775-7984
Practice Address - Street 1:81800 DR CARREON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5595
Practice Address - Country:US
Practice Address - Phone:760-347-2665
Practice Address - Fax:760-775-7984
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA51196207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF84690Medicare UPIN
CA00A511960Medicare ID - Type Unspecified