MEDICARE: MAJID SHAHBAZ MD INC

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

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	:	1295839934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJID SHAHBAZ MD INC

Provider Business Mailing Address
First Line	:	5555 RESERVOIR DRIVE SUITE 312
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120
Country	:	US
Telephone Number	:	619-583-1174
Fax Number	:	619-583-4609

Provider Business Practice Location Address
First Line	:	5555 RESERVOIR DR
Second Line	:	# 312
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5134
Country	:	US
Telephone Number	:	619-583-1174
Fax Number	:	619-583-4609

Authorized Official
Title or Position	:	MEDICAL DOCTOR
Name	:	DR. MAJID SHAHBAZ
Credential	:	MD
Telephone Number	:	619-583-1174

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	12/10/2012

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Directions to “MAJID SHAHBAZ MD INC ” Practice Location

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