MEDICARE: DR. SMITA HIMANSHU MAJMUDAR MD

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
1	207P00000X	Emergency Medicine Physician	35-050257	OH
2	207Q00000X	Family Medicine Physician	35-050257	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000339414	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1467413500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SMITA HIMANSHU MAJMUDAR MD

Provider Business Mailing Address
First Line	:	PO BOX 714110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43271-4110
Country	:	US
Telephone Number	:	440-716-1283
Fax Number	:	440-716-1605

Provider Business Practice Location Address
First Line	:	30498 LAKESHORE BLVD
Second Line	:
City	:	WILLOWICK
State	:	OH
Zip	:	44095-4623
Country	:	US
Telephone Number	:	440-585-3322
Fax Number	:	440-585-1962

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	09/11/2025

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