Provider Demographics
NPI:1134803216
Name:ALI, FAHEEMAH S
Entity type:Individual
Prefix:
First Name:FAHEEMAH
Middle Name:S
Last Name:ALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SABREEN
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2212 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94703-1618
Mailing Address - Country:US
Mailing Address - Phone:510-491-5509
Mailing Address - Fax:
Practice Address - Street 1:2212 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-1618
Practice Address - Country:US
Practice Address - Phone:510-491-5509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula