Individual
ANAM FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57230
KY
207Q00000X
Family Medicine Physician
R5045
KY
207R00000X
Internal Medicine Physician
0101287723
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57230
STATE LICENSE
KY
05
—
7100691870
—
KY
Enumeration date
03/27/2019
Last updated
02/25/2026
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