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Individual

MRS. SHAHEDA FATIMA MAROOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4041 ED DR, #108, RALEIGH, NC 27612-8004
(919) 783-8377
(919) 783-8770
Mailing address
4041 ED DR, #108, RALEIGH, NC 27612-8004
(919) 783-8377
(919) 783-8770

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
28114
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12082
BCBS
NC
05
8912082
NC
Enumeration date
10/02/2006
Last updated
06/09/2011
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