Provider Demographics
NPI:1538264676
Name:NAJMI, JAMSHEED KHODADAD (MD)
Entity type:Individual
Prefix:
First Name:JAMSHEED
Middle Name:KHODADAD
Last Name:NAJMI
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 1:8 WOODSTOCK LN
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3425
Mailing Address - Country:US
Mailing Address - Phone:908-730-7931
Mailing Address - Fax:908-722-4107
Practice Address - Street 1:8 WOODSTOCK LN
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3425
Practice Address - Country:US
Practice Address - Phone:908-730-7931
Practice Address - Fax:908-730-7931
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA032780002086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
C54753Medicare UPIN
445514Medicare ID - Type Unspecified