MRS. SHAHEDA FATIMA MAROOF (NPI# 1558454322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558454322 |
| Entity Type | Individual |
| Full Name | MRS. SHAHEDA FATIMA MAROOF |
| Credential | MD |
| Practice Address |
4041 Ed Dr #108 Raleigh NC 27612-8004 |
| Practice Telephone | 9197838377 |
| Practice Fax Number | 9197838770 |
| Mailing Telephone | 9197838377 |
| Mailing Fax Number | 9197838770 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
28114 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 12082 | 01 |
| NC | 8912082 | 05 |
| Street Address |
4041 ED DR #108 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487604971 | Mohammad Maroof | Anesthesiology | 4041 Ed Dr, Suite 104 & 108, Raleigh, NC 27612-8004 | 2006-05-12 |
| 1770990798 | Sameer Mohammad Maroof | Family Medicine | 4041 Ed Dr, #108, Raleigh, NC 27612-8004 | 2014-07-22 |
| 1679908719 | Emily Michelle King | Physician Assistant | 4041 Ed Dr, Raleigh, NC 27612-8004 | 2013-09-09 |
| 1326473471 | Allison Davis Ross | Physician Assistant | 4041 Ed Dr, Raleigh, NC 27612-8004 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
| 1245465053 | Herman Aronov Naftel | Psychiatry & Neurology | 107 Sunnybrook Road, Raleigh, NC 27610 | 2009-05-22 |
| 1467676510 | Douglas Michael Conrad | Psychiatry & Neurology | 4505 Fairmeadow Ln, Suite 208, Raleigh, NC 27607-6449 | 2007-04-12 |
| 1346397833 | Hima B Palakurthi | Psychiatry & Neurology | 5904 Norwood Knolls Way, Raleigh, NC 27614-8296 | 2007-01-05 |
| 1427066802 | Laura Earle Horgan | Psychiatry & Neurology | Msc, Raleigh, NC 27699-3601 | 2006-08-03 |
| 1497230775 | Restoration Counseling Center | Psychiatry & Neurology | 5868 Faringdon Pl, Raleigh, NC 27609-3931 | 2018-10-02 |
| 1033582002 | Abdul Khalid, Md, Pa | Psychiatry & Neurology | 312 W Millbrook Rd, Raleigh, NC 27609-4389 | 2015-11-12 |
| 1619292471 | National Mentor Healthcare, LLC | Psychiatry & Neurology | 3125 Poplarwood Ct, Suite 300, Raleigh, NC 27604-1084 | 2010-04-05 |
| 1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
| 1396950630 | Ellison & Associates of Raleigh PC | Psychiatry & Neurology | 2920 Highwoods Blvd, Suite 127, Raleigh, NC 27604-1015 | 2007-05-11 |
| Find all providers in RALEIGH | ||||
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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.