Provider Demographics
NPI:1295802155
Name:MAJEED, AZHAR (MD, MBA, FACP)
Entity type:Individual
Prefix:DR
First Name:AZHAR
Middle Name:
Last Name:MAJEED
Suffix:
Gender:M
Credentials:MD, MBA, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77572207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A775720Medicaid
CA00A775720Medicaid