Provider Demographics
NPI:1568444503
Name:MAJID, TASNEEM (MD)
Entity Type:Individual
Prefix:
First Name:TASNEEM
Middle Name:
Last Name:MAJID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 GRANADA CIR N
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-6207
Mailing Address - Country:US
Mailing Address - Phone:317-925-1945
Mailing Address - Fax:
Practice Address - Street 1:3089 W FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8504
Practice Address - Country:US
Practice Address - Phone:317-881-8700
Practice Address - Fax:317-881-9200
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041398208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics