Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 47624 | AZ |
N | 111NI0900X | Internist | 47624 | AZ |
N | 207RR0500X | Rheumatology | 01083564A | IN |
NPI | 1124337621 |
---|---|
Provider Name | Majd Alfreijat |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92103-9000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2010 |
Last Update Date | 09/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300035749 | (05) | IN |