Provider Demographics
NPI:1821028747
Name:MAJID, NASIRA Y (MD A MED)
Entity Type:Individual
Prefix:
First Name:NASIRA
Middle Name:Y
Last Name:MAJID
Suffix:
Gender:F
Credentials:MD A MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 W GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1427
Mailing Address - Country:US
Mailing Address - Phone:215-235-9200
Mailing Address - Fax:215-235-3620
Practice Address - Street 1:445 W GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1427
Practice Address - Country:US
Practice Address - Phone:215-235-9200
Practice Address - Fax:215-235-3620
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035285L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C29294Medicare UPIN
PA082874Medicare PIN