Healthcare Provider Details

I. General information

NPI: 1669683298
Provider Name (Legal Business Name): SARAH FATIMA NAYEEM M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH FATIMA RIAZ M.D.

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 12/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

DEPT 781625 P.O. BOX 78000
DETROIT MI
48278-1625
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-4545
  • Fax: 614-722-4575
Mailing address:
  • Phone: 614-355-8004
  • Fax: 614-355-2220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.132216
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: