MEDICARE: MRS. INDIRA MAJUMDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	10709	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154400448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. INDIRA MAJUMDER MD

Provider Business Mailing Address
First Line	:	1189 PINEVIEW DR
Second Line	:	SUITE E
City	:	MORGANTOWN
State	:	WV
Zip	:	26505
Country	:	US
Telephone Number	:	304-599-2441
Fax Number	:	304-598-9401

Provider Business Practice Location Address
First Line	:	1189 PINEVIEW DR
Second Line	:	SUITE E
City	:	MORGANTOWN
State	:	WV
Zip	:	26505
Country	:	US
Telephone Number	:	304-599-2441
Fax Number	:	304-598-9401

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/08/2007

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