Provider Demographics
NPI:1912989815
Name:MAJID, MOHAMMED A (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:A
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 1:3089 W FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8504
Mailing Address - Country:US
Mailing Address - Phone:317-881-8700
Mailing Address - Fax:317-881-9200
Practice Address - Street 1:3089 W FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8504
Practice Address - Country:US
Practice Address - Phone:317-881-8700
Practice Address - Fax:317-881-9200
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01039762207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100376840BMedicaid
F49154Medicare UPIN
597910AMedicare ID - Type Unspecified