Provider Demographics
NPI:1750512570
Name:SALIGRAM, SHREYAS (MD)
Entity type:Individual
Prefix:
First Name:SHREYAS
Middle Name:
Last Name:SALIGRAM
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 1:511 COURTYARD DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4255
Mailing Address - Country:US
Mailing Address - Phone:908-218-9222
Mailing Address - Fax:908-218-9818
Practice Address - Street 1:511 COURTYARD DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4255
Practice Address - Country:US
Practice Address - Phone:908-218-9222
Practice Address - Fax:908-218-9818
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA11882300207RG0100X, 207RG0100X
TXS5061207RG0100X
CAA146532207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1750512570OtherNPI
NJ25MA11882300OtherMEDICAL LICENSE
CA1073911137OtherNPI