Provider Demographics
NPI:1821378712
Name:MAZHAR MAJID MD PA
Entity Type:Organization
Organization Name:MAZHAR MAJID MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAZHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-720-1930
Mailing Address - Street 1:9105 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2550
Mailing Address - Country:US
Mailing Address - Phone:954-720-1930
Mailing Address - Fax:954-720-6130
Practice Address - Street 1:7737 N UNIVERSITY DR
Practice Address - Street 2:SUITE 104
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2961
Practice Address - Country:US
Practice Address - Phone:954-720-1930
Practice Address - Fax:954-720-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-23
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27949OtherBCBS
FL260850200Medicaid
FLFK217AMedicare PIN