Healthcare Provider Details

I. General information

NPI: 1811943343
Provider Name (Legal Business Name): SAIMA ATHAR M.D, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 3RD ST SUITE 101
GREENSBORO NC
27405-6967
US

IV. Provider business mailing address

912 3RD ST SUITE 101
GREENSBORO NC
27405-6967
US

V. Phone/Fax

Practice location:
  • Phone: 336-273-2511
  • Fax: 336-370-0287
Mailing address:
  • Phone: 336-273-2511
  • Fax: 336-370-0287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number24960
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01818
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: