Provider Demographics
NPI:1265782817
Name:NEEMUCHWALA, FATIMA HAKIMUDDIN (MD)
Entity type:Individual
Prefix:
First Name:FATIMA
Middle Name:HAKIMUDDIN
Last Name:NEEMUCHWALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5153 NORTH 9TH AVE
Mailing Address - Street 2:6TH FLOOR NEMOURS
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504
Mailing Address - Country:US
Mailing Address - Phone:850-416-7658
Mailing Address - Fax:850-416-7677
Practice Address - Street 1:5153 NORTH 9TH AVE
Practice Address - Street 2:6TH FLOOR NEMOURS
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504
Practice Address - Country:US
Practice Address - Phone:850-416-7658
Practice Address - Fax:850-416-7677
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLTRN17694208000000X
MI4301106853208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics