Provider Demographics
NPI:1831497411
Name:AZHAR MAJEED M D INC
Entity Type:Organization
Organization Name:AZHAR MAJEED M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AZHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-524-1940
Mailing Address - Street 1:255 E BONITA AVE
Mailing Address - Street 2:BUILDING # 1, SUITE 101
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1923
Mailing Address - Country:US
Mailing Address - Phone:909-524-1940
Mailing Address - Fax:909-524-1943
Practice Address - Street 1:255 E BONITA AVE
Practice Address - Street 2:BUILDING # 1, SUITE 101
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1923
Practice Address - Country:US
Practice Address - Phone:909-524-1940
Practice Address - Fax:909-524-1943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77572207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA77572Medicare PIN