Provider Demographics
NPI:1477608982
Name:AMALENDU MAJUMDAR M.D., S.C.
Entity Type:Organization
Organization Name:AMALENDU MAJUMDAR M.D., S.C.
Other - Org Name:AMALENDU MAJUMDAR M.D. S.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMALENDU
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJUMDAR
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:847-692-6218
Mailing Address - Street 1:PO BOX 798
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-0798
Mailing Address - Country:US
Mailing Address - Phone:847-692-6218
Mailing Address - Fax:
Practice Address - Street 1:2222 W DIVISION ST
Practice Address - Street 2:SUITE340
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2717
Practice Address - Country:US
Practice Address - Phone:312-770-3830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
31602403OtherBC/BS
C42231Medicare UPIN
771480Medicare PIN