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NPI Code Detail

MEDICARE: FAHIMA A QALBANI M.D.

MEDICARE: FAHIMA A QALBANI M.D.
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
12085R0202XDiagnostic Radiology Physician2590SD
22085U0001XDiagnostic Ultrasound Physician2590SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629071881
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAHIMA A QALBANI M.D.
Provider Business Mailing Address
First Line : 612 N SIOUX POINT RD
Second Line : STE 500
City : DAKOTA DUNES
State : SD
Zip : 57049-5084
Country : US
Telephone Number : 605-232-6200
Fax Number : 605-235-0004
Provider Business Practice Location Address
First Line : 612 N SIOUX POINT RD
Second Line : STE 500
City : DAKOTA DUNES
State : SD
Zip : 57049-5084
Country : US
Telephone Number : 605-232-6200
Fax Number : 605-235-0004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/16/2008

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Directions to “ FAHIMA A QALBANI M.D.” Practice Location

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