Provider Demographics
NPI:1033978614
Name:MAJID, MURTADHA
Entity type:Individual
Prefix:DR
First Name:MURTADHA
Middle Name:
Last Name:MAJID
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:MURTADHA
Other - Middle Name:
Other - Last Name:AL-KAZZAZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 MERRALL DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-7225
Mailing Address - Country:US
Mailing Address - Phone:518-709-9862
Mailing Address - Fax:
Practice Address - Street 1:215 W JANSS RD
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1847
Practice Address - Country:US
Practice Address - Phone:518-709-9986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program