Provider Demographics
NPI:1730258682
Name:MAJEED, MUNTAZ A (MD)
Entity type:Individual
Prefix:DR
First Name:MUNTAZ
Middle Name:A
Last Name:MAJEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12616 101ST AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-1506
Mailing Address - Country:US
Mailing Address - Phone:718-739-7798
Mailing Address - Fax:
Practice Address - Street 1:12616 101ST AVE
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1506
Practice Address - Country:US
Practice Address - Phone:347-960-9428
Practice Address - Fax:347-960-9367
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214856207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY020556276Medicaid
NY1730258682OtherNPPES
NY020556276Medicaid
H18451Medicare UPIN