Organization
ANITA SALUJA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJESH GUTTA MD (MANAGER)
(321) 223-1707
Entity
Organization
Contact information
Practice address
6559 N WICKHAM RD STE C105, MELBOURNE, FL 32940-2039
(321) 241-1160
Mailing address
2758 WYNDHAM WAY, MELBOURNE, FL 32940-5970
(321) 223-1707
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME82777
FL
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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