Basic Information
| Provider Information | |||||||||
| NPI: | 1083698815 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALGAR | ||||||||
| FirstName: | VEENA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 WEST ARBOR DR MC 0801 | ||||||||
| Address2: | UCSD MEDICAL GROUP | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921030801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195435720 | ||||||||
| FaxNumber: | 6195436162 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 WEST ARBOR DR MC 0801 | ||||||||
| Address2: | UCSD MEDICAL GROUP | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921030801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195435720 | ||||||||
| FaxNumber: | 6195436162 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 06/10/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 039101 | CT | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 001391010 | 05 | CT | MEDICAID |