Provider Demographics
NPI:1124151287
Name:SALEEM, SHUJA U (MD)
Entity type:Individual
Prefix:DR
First Name:SHUJA
Middle Name:U
Last Name:SALEEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:31 STILES RD
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2897
Mailing Address - Country:US
Mailing Address - Phone:603-890-2600
Mailing Address - Fax:603-870-0992
Practice Address - Street 1:31 STILES RD
Practice Address - Street 2:SUITE 2100
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2897
Practice Address - Country:US
Practice Address - Phone:603-890-2600
Practice Address - Fax:603-870-0992
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA37039207VG0400X
NH5617207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHP01599407OtherRAILROAD MEDICARE
MA6143504Medicaid
NH3103437Medicaid
MACO7083OtherBLUE CROSS BLUE SHIELD MA
MAD78714OtherHARVARD PILGRIM HEALTH CARE
MA6143504Medicaid
NHT400265824Medicare PIN