Provider Demographics
NPI:1043378540
Name:MAJD, NAHID SHIRAZY (MD)
Entity Type:Individual
Prefix:DR
First Name:NAHID
Middle Name:SHIRAZY
Last Name:MAJD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NAHID
Other - Middle Name:
Other - Last Name:SHIRAZY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1600 HARRISON AVE
Mailing Address - Street 2:SUITE #205
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3150
Mailing Address - Country:US
Mailing Address - Phone:914-777-6600
Mailing Address - Fax:914-777-6602
Practice Address - Street 1:1600 HARRISON AVE
Practice Address - Street 2:SUITE #205
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3150
Practice Address - Country:US
Practice Address - Phone:914-777-6600
Practice Address - Fax:914-777-6602
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY 156521208000000X
CT039175208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0080368Medicaid
NY0080368Medicaid