Individual
AYESHA FATIMA
Active
Individual
AYESHA FATIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
2024032007
MO
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2024032007
MO
2084P0800X
Psychiatry Physician
Primary
297.011185
IL
Other
Enumeration date
08/08/2024
Last updated
09/03/2026
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