Active NPI
Majid Mark Haditaghi, MD
- Neurology Physician
- Columbia, SC
National Provider Identifier
1932726411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- LL84613
- Practice address
- Prisma Health Medical Group Neurology
14 Medical Park, Ste 420
Columbia, SC 29203 - Phone
- (803) 545-6050
- Fax
- (803) 545-6051
- NPI assigned
- Jun 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LL84613 | SC | Primary |
Addresses
Primary practice location
Prisma Health Medical Group Neurology
14 Medical Park, Ste 420
Columbia, SC 29203
Mailing address
Prisma Health Medical Group Neurology
14 Medical Park, Ste 420
Columbia, SC 29203
Phone (803) 545-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL84613 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1932726411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PRISMA HEALTH MEDICAL GROUP NEUROLOGY",
"address_2": "14 MEDICAL PARK, STE 420",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-545-6050",
"fax_number": "803-545-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRISMA HEALTH MEDICAL GROUP NEUROLOGY",
"address_2": "14 MEDICAL PARK, STE 420",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-545-6050",
"fax_number": "803-545-6051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADITAGHI",
"first_name": "MAJID",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "LL84613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.