Provider Demographics
NPI:1548216179
Name:MAJUMDAR, SURAJIT (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:SURAJIT
Middle Name:
Last Name:MAJUMDAR
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700 SOUTHFORK RD
Mailing Address - Street 2:STE 280
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-3201
Mailing Address - Country:US
Mailing Address - Phone:314-525-4990
Mailing Address - Fax:314-525-4926
Practice Address - Street 1:12700 SOUTHFORK RD
Practice Address - Street 2:STE 280
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-3201
Practice Address - Country:US
Practice Address - Phone:314-525-4990
Practice Address - Fax:314-525-4926
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO105843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine