Fahim, Fahim

Fahim, Fahim is an sole proprietor health care provider with primary practice located at 3517 Brandon Ave Sw , Roanoke VA 24018-1523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Fahim, Fahim can be contacted via phone (540) 981-1102.

Contact Information

Primary practice address
3517 Brandon Ave Sw Roanoke VA 24018-1523
Phone: (540) 981-1102
Fax: (540) 344-4169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101231772 Virginia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101231772 Virginia

Profile Details

NPI number 1033183801
LBN Legal business name Fahim, Fahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Jan 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033183801 NPPES
Virginia Other 081024 SENTARA
Virginia Other 2182262 SENTARA
Virginia Other 246008 SENTARA
Virginia MEDICAID 004945263 SENTARA
Virginia Other 246008 SENTARA
Virginia Other 537848000 SENTARA
Virginia Other 4945263 SENTARA

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