1528295086 NPI number — MIR A MAJEED, MD, INC

Table of content: (NPI 1528295086)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528295086 NPI number — MIR A MAJEED, MD, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIR A MAJEED, MD, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528295086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9360 W FLAMINGO RD
Provider Second Line Business Mailing Address:
STE 110-257
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89147-6426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-577-7361
Provider Business Mailing Address Fax Number:
702-974-1997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9360 W FLAMINGO RD
Provider Second Line Business Practice Location Address:
STE 110-257
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89147-6426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-577-7361
Provider Business Practice Location Address Fax Number:
702-974-1997
Provider Enumeration Date:
06/11/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MAJEED
Authorized Official First Name:
MIR
Authorized Official Middle Name:
ASAD
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
702-577-7361

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  12738 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)