Provider Demographics
NPI:1922134428
Name:RAJABI-KHAMESI, MAJID (DDS)
Entity Type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:RAJABI-KHAMESI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 EAST 40 ST SUITE 705
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2807
Mailing Address - Country:US
Mailing Address - Phone:212-481-2535
Mailing Address - Fax:212-481-2535
Practice Address - Street 1:30 E 40TH ST RM 705
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-1213
Practice Address - Country:US
Practice Address - Phone:212-481-2535
Practice Address - Fax:212-481-2228
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0463551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice