Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AYESHA FATIMA
Active Sole ProprietorAYESHA FATIMA is a Addiction Medicine (Family Practice) healthcare provider located in JOPLIN, Missouri. NPI 1881425361 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · JOPLIN, MO
Registration Details
- NPI Number
- 1881425361
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2024 (2.0404264106252 yrs)
- Last Updated
- Aug 8, 2024
- Licenses
-
2024032007 (MO)2024032007 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
932 E 34TH STJOPLIN, MO, 648043932Browse MO providers · Browse ZIP 64804
- Phone
- 4173477600
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Addiction Medicine (Family Practice)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.