1982778254 NPI number — ASAD MAJID M.D.

Table of content: ASAD MAJID M.D. (NPI 1982778254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982778254 NPI number — ASAD MAJID M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAJID
Provider First Name:
ASAD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1982778254
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 547
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONEOYE FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14472-0547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-335-2194
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4616 MILLENNIUM DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GENESEO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14454-1197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-991-5026
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  252230 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RN0300X , with the licence number: 252230 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 000527577001 . This is a "BCBSW" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7430512 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P010002094 . This is a "DC ROCHESTER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0259106 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0186293 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00026724 . This is a "UNIV" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2512370 . This is a "IHA" identifier . This identifiers is of the category "OTHER".




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