Provider Demographics
NPI:1518951391
Name:MAJID, H ABDUL (MD)
Entity type:Individual
Prefix:
First Name:H ABDUL
Middle Name:
Last Name:MAJID
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 1:435 B NORTH 2ND STREET #320
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-4007
Mailing Address - Country:US
Mailing Address - Phone:408-490-4068
Mailing Address - Fax:
Practice Address - Street 1:55 E JULIAN ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-4007
Practice Address - Country:US
Practice Address - Phone:408-918-2600
Practice Address - Fax:408-795-1129
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI180602084N0400X
CAC507572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI31241300Medicaid
WI31241300Medicaid
WI0051 71018Medicare PIN
WI0154 45300Medicare PIN