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NPI Code Detail

MEDICARE: MUSTANSIR MAJEED MD

MEDICARE: MUSTANSIR MAJEED 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
1207Q00000XFamily Medicine Physician4301071529MI
2207Q00000XFamily Medicine Physician39808WI

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 : 1689778920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUSTANSIR MAJEED MD
Provider Business Mailing Address
First Line : 1001 W GLEN OAKS LN STE 105
Second Line :
City : MEQUON
State : WI
Zip : 53092-3369
Country : US
Telephone Number : 414-365-3210
Fax Number : 414-365-2937
Provider Business Practice Location Address
First Line : 1701 SHARP RD
Second Line :
City : WATERFORD
State : WI
Zip : 53185-5214
Country : US
Telephone Number : 262-534-7297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2006
Last Update Date : 11/19/2025

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