Provider Demographics
NPI:1982818480
Name:MAJUMDAR, NIKHIL DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:DANIEL
Last Name:MAJUMDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MARIE ST
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-1864
Mailing Address - Country:US
Mailing Address - Phone:650-273-6042
Mailing Address - Fax:
Practice Address - Street 1:361 3RD ST STE A
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3580
Practice Address - Country:US
Practice Address - Phone:415-612-1908
Practice Address - Fax:415-612-1909
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010951662084A0401X, 2084P0800X
CAA1165932084A0401X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine