Provider Demographics
NPI:1508882903
Name:MAJID, TAHIR I (MD)
Entity Type:Individual
Prefix:DR
First Name:TAHIR
Middle Name:
Last Name:MAJID
Suffix:I
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 1:81709 DOCTOR CARREON BLVD
Mailing Address - Street 2:C-4
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5577
Mailing Address - Country:US
Mailing Address - Phone:760-342-8181
Mailing Address - Fax:760-342-0946
Practice Address - Street 1:81709 DOCTOR CARREON BLVD
Practice Address - Street 2:C-4
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5577
Practice Address - Country:US
Practice Address - Phone:760-342-8181
Practice Address - Fax:760-342-0946
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37978207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A379780Medicare ID - Type Unspecified
CAA28499Medicare UPIN