Provider Demographics
NPI:1053465542
Name:NAIMI, MINAJ (DDS)
Entity Type:Individual
Prefix:DR
First Name:MINAJ
Middle Name:
Last Name:NAIMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MINAJ
Other - Middle Name:
Other - Last Name:RIAHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5450 THORNWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1222
Mailing Address - Country:US
Mailing Address - Phone:408-360-0270
Mailing Address - Fax:408-360-0275
Practice Address - Street 1:5450 THORNWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1222
Practice Address - Country:US
Practice Address - Phone:408-360-0270
Practice Address - Fax:408-360-0275
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA212161223G0001X
CA466521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAV06115OtherBLUE SHIELD