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NPI Code Detail

MEDICARE: NABEELA FATIMA

MEDICARE:   NABEELA  FATIMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1144162520
Entity Type Code : Individual
Provider Name (Legal Business Name) : NABEELA FATIMA
Provider Business Mailing Address
First Line : 527 MEDICAL PARK DR STE 500
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9010
Country : US
Telephone Number : 630-940-5151
Fax Number :
Provider Business Practice Location Address
First Line : 527 MEDICAL PARK DR STE 500
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9010
Country : US
Telephone Number : 681-342-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ NABEELA FATIMA ” Practice Location

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