Individual
FAHIM FAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3517 BRANDON AVE SW, ROANOKE, VA 24018-1523
(540) 981-1102
(540) 344-4169
Mailing address
301 ELM AVE SW, ROANOKE, VA 24016-4001
(540) 345-9841
(540) 527-2900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101231772
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101231772
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945263
—
VA
01
—
081024
SENTARA
VA
01
—
2182262
CIGNA
VA
01
—
246008
HEALTHKEEPERS
VA
01
—
4945263
VIGINIA PREMIER
VA
01
—
537848000
MEGALLAN
VA
Enumeration date
02/16/2006
Last updated
01/28/2011
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