Individual
MAJID SHAFIEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
(651) 241-3500
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
24445
WV
207Y00000X
Otolaryngology Physician
Primary
107241
MN
207Y00000X
Otolaryngology Physician
24445
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020872
—
WV
01
—
P00966068
RAILROAD MEDICARE
WV
Enumeration date
06/22/2006
Last updated
07/08/2020
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