Provider Demographics
NPI:1578138350
Name:MAHAJAN, ZUBIN AJAY (MD)
Entity type:Individual
Prefix:DR
First Name:ZUBIN
Middle Name:AJAY
Last Name:MAHAJAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:SIH MEMORIAL HOSPITAL OF CARBONDALE
Mailing Address - Street 2:405 W JACKSON ST
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901
Mailing Address - Country:US
Mailing Address - Phone:770-639-8847
Mailing Address - Fax:404-806-4330
Practice Address - Street 1:SIH MEMORIAL HOSPITAL OF CARBONDALE
Practice Address - Street 2:405 W JACKSON ST, CARBONDALE, IL 62901
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901
Practice Address - Country:US
Practice Address - Phone:770-639-8847
Practice Address - Fax:404-806-4330
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036.168223207R00000X
IL036-168223207R00000X
IL125-078082207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program