Provider Demographics
NPI:1700837218
Name:ABUHAJIR, MAJED (MD)
Entity Type:Individual
Prefix:DR
First Name:MAJED
Middle Name:
Last Name:ABUHAJIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MAJED
Other - Middle Name:
Other - Last Name:ABUHAJIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:835 E BRIAR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-6058
Mailing Address - Country:US
Mailing Address - Phone:414-678-9676
Mailing Address - Fax:
Practice Address - Street 1:5666 E STATE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61108-2472
Practice Address - Country:US
Practice Address - Phone:815-227-2672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA340064207RH0000X
WI33223207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI68280Medicare ID - Type Unspecified
WI32342000Medicaid
G45354Medicare UPIN