Individual
DR. NANCY M A FAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
2004035455
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
51486
MN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2004035455
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206231201
—
MO
Enumeration date
07/14/2006
Last updated
03/21/2013
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