Provider Demographics
NPI:1578131850
Name:MAJEED PADUVANA, MD,FACP,PLLC
Entity Type:Organization
Organization Name:MAJEED PADUVANA, MD,FACP,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJEED
Authorized Official - Middle Name:A
Authorized Official - Last Name:PADUVANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-552-8696
Mailing Address - Street 1:18263 E 10 MILE RD STE E
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-5805
Mailing Address - Country:US
Mailing Address - Phone:586-552-8696
Mailing Address - Fax:585-552-4113
Practice Address - Street 1:18263 E 10 MILE RD STE E
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-5805
Practice Address - Country:US
Practice Address - Phone:586-552-8696
Practice Address - Fax:585-552-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty