Healthcare Provider Details

I. General information

NPI: 1295802155
Provider Name (Legal Business Name): AZHAR MAJEED MD, MBA, FACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1042 SAN BERNARDINO RD
UPLAND CA
91786-4921
US

IV. Provider business mailing address

1042 SAN BERNARDINO RD
UPLAND CA
91786-4921
US

V. Phone/Fax

Practice location:
  • Phone: 909-524-1940
  • Fax: 909-524-1943
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA77572
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: