Healthcare Provider Details

I. General information

NPI: 1881520120
Provider Name (Legal Business Name): FNU HEEMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NORTH IM RESIDENCY CLINICS 96 15TH ST. NW SUITE 111
NORTON VA
24273
US

IV. Provider business mailing address

NORTH IM RESIDENCY CLINICS 96 15TH ST. NW SUITE 111
NORTON VA
24273
US

V. Phone/Fax

Practice location:
  • Phone: 276-439-1872
  • Fax: 276-439-1872
Mailing address:
  • Phone: 276-439-1872
  • Fax: 276-439-1872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: