Provider Demographics
NPI:1043325483
Name:MAJHAIL, AMARDEEP (MD)
Entity Type:Individual
Prefix:DR
First Name:AMARDEEP
Middle Name:
Last Name:MAJHAIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14674 W MOUNTAIN VIEW BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-2707
Mailing Address - Country:US
Mailing Address - Phone:623-600-2406
Mailing Address - Fax:623-900-7878
Practice Address - Street 1:14674 W MOUNTAIN VIEW BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2707
Practice Address - Country:US
Practice Address - Phone:623-600-2406
Practice Address - Fax:623-900-7878
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ25498207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ394289Medicaid
G57467Medicare UPIN
AZ394289Medicaid