Provider Demographics
NPI:1619012192
Name:BASHY, MAJID HAJIZADEH (MD)
Entity Type:Individual
Prefix:DR
First Name:MAJID
Middle Name:HAJIZADEH
Last Name:BASHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MAJID
Other - Middle Name:
Other - Last Name:BASHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9060 W. POST RD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-838-0444
Mailing Address - Fax:702-570-6228
Practice Address - Street 1:9060 W. POST RD
Practice Address - Street 2:SUITE #200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-838-0444
Practice Address - Fax:702-570-6228
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9667207R00000X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVG33157Medicare UPIN