Provider Demographics
NPI:1902851355
Name:SALVAJI, MADHU (DO)
Entity type:Individual
Prefix:DR
First Name:MADHU
Middle Name:
Last Name:SALVAJI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2425
Mailing Address - Country:US
Mailing Address - Phone:908-601-5826
Mailing Address - Fax:
Practice Address - Street 1:6316 W UNION HILLS DR STE 210
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-1001
Practice Address - Country:US
Practice Address - Phone:480-765-2800
Practice Address - Fax:480-765-2799
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB072684207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ108288Medicare PIN