Provider Demographics
NPI:1750816617
Name:MAJEED, WAHEED
Entity Type:Individual
Prefix:
First Name:WAHEED
Middle Name:
Last Name:MAJEED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-2844
Mailing Address - Country:US
Mailing Address - Phone:909-520-9477
Mailing Address - Fax:
Practice Address - Street 1:1504 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-2844
Practice Address - Country:US
Practice Address - Phone:909-520-9477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)