Individual
WAJAHAT FAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
892 OAKLAWN AVENUE, HALO CLINIC, CRANSTON, RI 02920
(401) 942-3300
(401) 943-5492
Mailing address
892 OAKLAWN AVENUE, HALO CLINIC, CRANSTON, RI 02920
(401) 942-3300
(401) 943-5492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD10832
RI
2084P0805X
Geriatric Psychiatry Physician
MD10832
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022310
NH BEACON
RI
01
—
1526417
UBH
RI
01
—
306597
BLUE SHIELD
RI
01
—
410653
BLUE CHIP
RI
05
—
7010518
—
RI
Enumeration date
08/12/2006
Last updated
11/26/2024
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