Provider Demographics
NPI:1861667917
Name:MOHAMED DAMJI/SHIRAZ DAMJI PARTNERS
Entity Type:Organization
Organization Name:MOHAMED DAMJI/SHIRAZ DAMJI PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMJI
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:718-992-3900
Mailing Address - Street 1:1250 SHAKESPEARE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-3012
Mailing Address - Country:US
Mailing Address - Phone:718-992-3900
Mailing Address - Fax:718-537-6180
Practice Address - Street 1:1250 SHAKESPEARE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3012
Practice Address - Country:US
Practice Address - Phone:718-992-3900
Practice Address - Fax:718-537-6180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035720122300000X
NY034676122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty