Healthcare Provider Details

I. General information

NPI: 1831497411
Provider Name (Legal Business Name): AZHAR MAJEED M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
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: 909-524-1940
  • Fax: 909-524-1943

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: DR. AZHAR MAJEED
Title or Position: PRESIDENT
Credential: M.D.
Phone: 909-524-1940