Healthcare Provider Details

I. General information

NPI: 1417341538
Provider Name (Legal Business Name): NEIL MAJMUNDAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7242 E OSBORN RD STE 420
SCOTTSDALE AZ
85251-6494
US

IV. Provider business mailing address

2910 N 3RD AVE STE 200
PHOENIX AZ
85013-4434
US

V. Phone/Fax

Practice location:
  • Phone: 480-425-8004
  • Fax: 480-425-8002
Mailing address:
  • Phone: 602-406-3181
  • Fax: 602-264-2417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number76955
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number25MA10870600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA10870600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: