Individual
NASIHA FAHMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 INDIAN RIVER RD, SUITE C2, ORANGE, CT 06477-3649
(203) 795-3617
(203) 795-3618
Mailing address
PO BOX 762, ORANGE, CT 06477-0762
(203) 795-3617
(203) 795-3618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039637
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001396375
—
CT
01
—
010039637CT05
ANTHEM BCBS
CT
01
—
039637
CONNECTICARE
CT
01
—
0407779
UNITED HEALTHCARE
CT
01
—
0Q3209
HEALTHNET
CT
01
—
201475344
CIGNA
CT
01
—
244430
WELLCARE
CT
01
—
2594704
GREAT WEST HEALTHCARE
CT
01
—
2633204
AETNA
CT
01
—
P00157811
U.S. RAILROAD MEDICARE
CT
01
—
P2546380
OXFORD
CT
Enumeration date
02/21/2007
Last updated
02/27/2012
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