Provider Demographics
NPI:1083296982
Name:MAJIDI, SHAHRIYAR PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:SHAHRIYAR
Middle Name:PATRICK
Last Name:MAJIDI
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 1:2143 KEHRS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-6509
Mailing Address - Country:US
Mailing Address - Phone:636-675-3908
Mailing Address - Fax:
Practice Address - Street 1:600 N. WOLFE STREET, WILMER B29
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287
Practice Address - Country:US
Practice Address - Phone:410-955-5650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program