Healthcare Provider Details
I. General information
NPI: 1518951391
Provider Name (Legal Business Name): H ABDUL MAJID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/07/2005
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55 E JULIAN ST
SAN JOSE CA
95112-4007
US
IV. Provider business mailing address
435 B NORTH 2ND STREET #320
SAN JOSE CA
95112-4007
US
V. Phone/Fax
- Phone: 408-918-2600
- Fax: 408-795-1129
- Phone: 408-490-4068
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 18060 |
| License Number State | WI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | C50757 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: