Individual
FAHAD BIN NAYIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 PORTLAND AVE, ROCHESTER, NY 14621-2706
(609) 585-1122
(609) 585-0309
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(609) 585-1122
(609) 585-0309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
313236
NY
207R00000X
Internal Medicine Physician
4301100834
MI
207R00000X
Internal Medicine Physician
D79150
MD
208M00000X
Hospitalist Physician
Primary
313236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06864933
—
NY
Enumeration date
07/17/2012
Last updated
04/13/2026
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