# HAKEEM I. JIBAWI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194040006
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 02004129A | IN | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 02004129A | IN | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 036139308 | IL | — |

## Other

- **Enumeration date:** 04/02/2010
- **Last updated:** 01/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201164640 | — | IN |