Provider Demographics
NPI:1841272077
Name:MEMON, ABDUL MAJID (MD)
Entity type:Individual
Prefix:MR
First Name:ABDUL
Middle Name:MAJID
Last Name:MEMON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3530 MYSTIC POINTE DR
Mailing Address - Street 2:#1508
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4541
Mailing Address - Country:US
Mailing Address - Phone:305-750-0533
Mailing Address - Fax:305-585-0000
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:ECC ET 1195
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-585-6913
Practice Address - Fax:305-585-0000
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FL0050547207P00000X
NJ28801207P00000X
NY119245207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C46408Medicare UPIN