Provider Demographics
NPI:1699816769
Name:SHIKHA MAJUMDAR,MD LLC
Entity Type:Organization
Organization Name:SHIKHA MAJUMDAR,MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHIKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJUMDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-431-5563
Mailing Address - Street 1:3499 ROUTE 9 N
Mailing Address - Street 2:SUITE 2C-3
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-3258
Mailing Address - Country:US
Mailing Address - Phone:732-431-5563
Mailing Address - Fax:732-431-5593
Practice Address - Street 1:3499 ROUTE 9 N
Practice Address - Street 2:SUITE 2C-3
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3258
Practice Address - Country:US
Practice Address - Phone:732-431-5563
Practice Address - Fax:732-431-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07154100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8844003Medicaid
NJ082862Medicare ID - Type Unspecified
NJ8844003Medicaid