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NPI Code Detail

MEDICARE: MAJID KIANMAJD DO

MEDICARE:   MAJID  KIANMAJD  DO
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
1208600000XSurgery Physician25MB10090300NJ
2208600000XSurgery PhysicianR4575TX

Other Identifiers

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

General Provider Information

NPI Number : 1396008389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAJID KIANMAJD DO
Provider Business Mailing Address
First Line : 1860 PENNSYLVANIA AVE STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-3550
Country : US
Telephone Number : 707-646-4180
Fax Number :
Provider Business Practice Location Address
First Line : 1860 PENNSYLVANIA AVE STE 200
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-3550
Country : US
Telephone Number : 707-646-4180
Fax Number : 707-646-4185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2012
Last Update Date : 03/03/2021

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Directions to “ MAJID KIANMAJD DO” Practice Location

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