Provider Demographics
NPI:1427735398
Name:FAHIMA NADI LLC
Entity type:Organization
Organization Name:FAHIMA NADI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAHIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-609-9294
Mailing Address - Street 1:1259 AVOCADO SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-3633
Mailing Address - Country:US
Mailing Address - Phone:442-242-5895
Mailing Address - Fax:
Practice Address - Street 1:1259 AVOCADO SUMMIT DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-3633
Practice Address - Country:US
Practice Address - Phone:442-242-5895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty