Provider Demographics
NPI:1689767568
Name:NAYEEM, JUHI FATIMA (MD)
Entity Type:Individual
Prefix:
First Name:JUHI
Middle Name:FATIMA
Last Name:NAYEEM
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 1:8367 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4831
Mailing Address - Country:US
Mailing Address - Phone:301-498-4882
Mailing Address - Fax:301-498-5097
Practice Address - Street 1:8367 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4831
Practice Address - Country:US
Practice Address - Phone:301-498-4882
Practice Address - Fax:301-498-5097
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00289792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD268101300Medicaid
MD268101300Medicaid
MD432450Medicare ID - Type Unspecified