FAHIM FAHIM (NPI# 1033183801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033183801 |
| Entity Type | Individual |
| Full Name | FAHIM FAHIM |
| Credential | M.D. |
| Practice Address |
3517 Brandon Ave Sw Roanoke VA 24018-1523 |
| Mailing Address |
301 Elm Ave Sw Roanoke VA 24016-4001 |
| Practice Telephone | 5409811102 |
| Practice Fax Number | 5403444169 |
| Mailing Telephone | 5403459841 |
| Mailing Fax Number | 5405272900 |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2011-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101231772 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101231772 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 246008 | 01 |
| VA | VIGINIA PREMIER | 4945263 | 01 |
| VA | MEGALLAN | 537848000 | 01 |
| VA | 004945263 | 05 | |
| VA | SENTARA | 081024 | 01 |
| VA | CIGNA | 2182262 | 01 |
| VA | HEALTHKEEPERS | 246008 | 01 |
| Street Address |
3517 BRANDON AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558923847 | Daniella Veronica Perla | Social Worker | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2019-07-08 |
| 1538723192 | Damian Ayala | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2019-04-29 |
| 1841764909 | Stephanie Alejandra Hylton | Social Worker | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2019-01-11 |
| 1619422847 | Donna Wagner | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2016-08-17 |
| 1841641628 | Elizabeth Kates | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2016-06-23 |
| 1639552094 | Shana Jackson | Social Worker | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2015-07-02 |
| 1427454719 | Howard W. Shumate | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2014-11-13 |
| 1407278435 | Sarah Watkins | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2014-01-10 |
| 1679906382 | Wesley Adam Brusseau | Social Worker | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2013-08-16 |
| 1477852382 | Todd Douglas Stanley | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365408 | Kiran Khalid | Psychiatry & Neurology | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2015-05-13 |
| 1801006176 | Anuradha Reddy | Psychiatry & Neurology | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2007-05-23 |
| 1750301529 | Brett Wallace Sharp | Psychiatry & Neurology | 213 Mcclanahan St Sw, Suite 310, Roanoke, VA 24014-1721 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.