Individual provider · Type 1 NPI

Ayesha Fatima, MD

Student in an Organized Health Care Education/Training Program · Clinton Township, MI

NPI number 1710827894 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Call (313) 916-1601 Map

Mailing address

2556 Bangert Ln
Naperville, IL 60564-5902

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710827894

Ayesha Fatima, MD's National Provider Identifier is 1710827894, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clinton Township, MI. The record was last updated on Mar 30, 2026.