Provider Demographics
NPI:1750406229
Name:KABIR, FATHIMA NIKHATH (MD)
Entity type:Individual
Prefix:DR
First Name:FATHIMA
Middle Name:NIKHATH
Last Name:KABIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FATHIMA
Other - Middle Name:NAVEEN
Other - Last Name:NAIMUDDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:14460 NEW FALLS OF NEUSE
Mailing Address - Street 2:SUITE 149-306
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8227
Mailing Address - Country:US
Mailing Address - Phone:919-872-9762
Mailing Address - Fax:919-872-9797
Practice Address - Street 1:3718 BENSON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7321
Practice Address - Country:US
Practice Address - Phone:919-872-9762
Practice Address - Fax:919-872-9797
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96-01357207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10074OtherBCBS OF NC
NCG42588Medicare UPIN
NC2233578CMedicare ID - Type Unspecified