Provider Demographics
NPI:1477878437
Name:REYMAN, FATHIMA FARHEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:FATHIMA
Middle Name:FARHEEN
Last Name:REYMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FATHIMA
Other - Middle Name:
Other - Last Name:FARHEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2321 BLUE RIDGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6453
Mailing Address - Country:US
Mailing Address - Phone:919-845-1555
Mailing Address - Fax:919-845-1558
Practice Address - Street 1:2321 BLUE RIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6453
Practice Address - Country:US
Practice Address - Phone:919-845-1555
Practice Address - Fax:919-845-1558
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-015102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry