Provider Demographics
NPI:1912436338
Name:MAJEED, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MAJEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416A W TILGHMAN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-2426
Mailing Address - Country:US
Mailing Address - Phone:484-820-1234
Mailing Address - Fax:
Practice Address - Street 1:416A W TILGHMAN ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-2426
Practice Address - Country:US
Practice Address - Phone:484-820-1234
Practice Address - Fax:833-629-0782
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD471353207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT212435OtherSTATE