Individual
DR. MOHAMED M FAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3533
(304) 637-3440
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3533
(304) 637-3440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20878
WV
208VP0000X
Pain Medicine Physician
20878
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005303000
—
WV
01
—
P00046814
RAILROAD MEDICARE
WV
Enumeration date
12/20/2005
Last updated
04/26/2024
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