Healthcare Provider Details

I. General information

NPI: 1568444503
Provider Name (Legal Business Name): TASNEEM MAJID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3089 W FAIRVIEW RD
GREENWOOD IN
46142-8504
US

IV. Provider business mailing address

2721 GRANADA CIR N
INDIANAPOLIS IN
46222-6207
US

V. Phone/Fax

Practice location:
  • Phone: 317-881-8700
  • Fax: 317-881-9200
Mailing address:
  • Phone: 317-925-1945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01041398
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: