Provider Demographics
NPI:1396212080
Name:AHMED, FATIMA SAYYEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:SAYYEDA
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 MAJESTIC PRINCE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-4269
Mailing Address - Country:US
Mailing Address - Phone:847-271-7255
Mailing Address - Fax:
Practice Address - Street 1:4904 MAJESTIC PRINCE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-4269
Practice Address - Country:US
Practice Address - Phone:847-271-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2018-02729207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty