Individual
DR. AHMED DAVER FAHEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1014 JOHNSTOWN ROAD, BECKLEY, WV 25801-4940
(304) 252-4433
(304) 252-1703
Mailing address
PO BOX 1128, 1014 JOHNSTOWN ROAD, BECKLEY, WV 25802-1128
(304) 252-4433
(304) 252-1703
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12885
WV
2084P0802X
Addiction Psychiatry Physician
12885
WV
2084P0804X
Child & Adolescent Psychiatry Physician
12885
WV
2084P0805X
Geriatric Psychiatry Physician
12885
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001720506
BCBS
WV
05
—
0116820000
—
WV
01
—
260003992
RR MEDICARE
WV
Enumeration date
10/31/2006
Last updated
04/18/2011
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