Basic Information
Provider Information
NPI: 1902828486
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAJID
FirstName: ABID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2150 APPIAN WAY STE 102
Address2:  
City: PINOLE
State: CA
PostalCode: 945642520
CountryCode: US
TelephoneNumber: 5106918460
FaxNumber: 5103237533
Practice Location
Address1: 2101 VALE RD
Address2: SUITE 300
City: SAN PABLO
State: CA
PostalCode: 948063835
CountryCode: US
TelephoneNumber: 5106918460
FaxNumber: 5102333390
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 01/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XA85496CAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XA85496CAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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