Provider Demographics
NPI:1326273079
Name:MAJMUDAR, SHIRINE (MD)
Entity Type:Individual
Prefix:
First Name:SHIRINE
Middle Name:
Last Name:MAJMUDAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:13300 HARGRAVE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4374
Mailing Address - Country:US
Mailing Address - Phone:281-797-1167
Mailing Address - Fax:281-469-1460
Practice Address - Street 1:11920 ASTORIA BLVD
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6097
Practice Address - Country:US
Practice Address - Phone:281-464-3757
Practice Address - Fax:281-464-3758
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2019-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP74962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX347369ZBLTMedicare PIN