Provider Demographics
NPI:1184449209
Name:MIRZAYEE, FAHIMA
Entity type:Individual
Prefix:
First Name:FAHIMA
Middle Name:
Last Name:MIRZAYEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23240 88TH AVE S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-4436
Mailing Address - Country:US
Mailing Address - Phone:425-280-0916
Mailing Address - Fax:
Practice Address - Street 1:23240 88TH AVE S APT RR 303
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-4484
Practice Address - Country:US
Practice Address - Phone:425-280-0916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula