Provider Demographics
NPI:1174967087
Name:MAJEED, AMMAR (MD)
Entity type:Individual
Prefix:
First Name:AMMAR
Middle Name:
Last Name:MAJEED
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 1:3517 SW WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:JOSHUA
Mailing Address - State:TX
Mailing Address - Zip Code:76058-6159
Mailing Address - Country:US
Mailing Address - Phone:817-447-1151
Mailing Address - Fax:817-529-8927
Practice Address - Street 1:3517 SW WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:JOSHUA
Practice Address - State:TX
Practice Address - Zip Code:76058-6159
Practice Address - Country:US
Practice Address - Phone:817-447-1151
Practice Address - Fax:817-529-8927
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29950207R00000X
TXR7267207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200571250 AMedicaid