Provider Demographics
NPI:1598854671
Name:MAJEED, MOHAMMED (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:
Last Name:MAJEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHAMMED
Other - Middle Name:
Other - Last Name:WASSFI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1204 HILLTOP DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5861
Mailing Address - Country:US
Mailing Address - Phone:307-352-8125
Mailing Address - Fax:307-352-8126
Practice Address - Street 1:1204 HILLTOP DR
Practice Address - Street 2:SUITE 108
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5861
Practice Address - Country:US
Practice Address - Phone:307-352-8125
Practice Address - Fax:307-352-8126
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7113A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYI25706Medicare UPIN
WY20118Medicare ID - Type Unspecified