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NPI Code Detail

MEDICARE: MAJID MORIDANI

MEDICARE: MAJID MORIDANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center
2291U00000XClinical Medical Laboratory
3247ZC0005XClinical Laboratory Director (Non-physician)

General Provider Information

NPI Number : 1003245937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAJID MORIDANI
Provider Business Mailing Address
First Line : 5700 TENNYSON PKWY STE 300
Second Line :
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 414-949-1355
Fax Number :
Provider Business Practice Location Address
First Line : 5700 TENNYSON PKWY STE 300
Second Line :
City : PLANO
State : TX
Zip : 75024-3595
Country : US
Telephone Number : 414-949-1355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2013
Last Update Date : 10/10/2024

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Directions to “ MAJID MORIDANI ” Practice Location

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