Organization
SBN INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD FAHIM-DANISH LATEEF M.D (PRESIDENT OF THE COMPANY)
(919) 491-3455
Entity
Organization
Contact information
Practice address
2401 S SIDE BLVD, GREENSBORO, NC 27406-3311
(919) 491-3455
(919) 859-5225
Mailing address
25 WINDING RIDGE RD, DURHAM, NC 27713-5811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962445668
INDIVIDUAL NPI NUMBER
NC
Enumeration date
10/03/2006
Last updated
08/27/2013
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