Healthcare Provider Details

I. General information

NPI: 1285726109
Provider Name (Legal Business Name): SHAHER B MAJID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-5591 PALANI RD STE 2002
KAILUA KONA HI
96740-3631
US

IV. Provider business mailing address

67-1123 MAMALAHOA HWY SUITE 128
KAMUELA HI
96743-8451
US

V. Phone/Fax

Practice location:
  • Phone: 808-329-3344
  • Fax: 808-329-2248
Mailing address:
  • Phone: 808-885-7351
  • Fax: 808-885-4120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number13761
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: