Individual
FAHIMA A QALBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 N SIOUX POINT RD, STE 500, DAKOTA DUNES, SD 57049-5084
(605) 232-6200
(605) 235-0004
Mailing address
612 N SIOUX POINT RD, STE 500, DAKOTA DUNES, SD 57049-5084
(605) 232-6200
(605) 235-0004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2590
SD
2085U0001X
Diagnostic Ultrasound Physician
2590
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035261
—
IA
05
—
421337911-00
—
NE
05
—
421337911-01
—
NE
05
—
7202340
—
SD
Enumeration date
05/23/2005
Last updated
01/16/2008
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