# FAYAZ AHMAD HAKIM

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

## Provider details

- **NPI number:** 1770729774
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 53571 | MN | — |
| 207RC0000X | Cardiovascular Disease Physician | 35.140382 | OH | — |
| 207RC0000X | Cardiovascular Disease Physician | 44223 | AZ | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 4301512775 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 09/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 717371 | — | AZ |
| 05 | — | ENROLLED | — | IA |
| 05 | — | ENROLLED | — | MN |
| 01 | — | P00992463 | RAILROAD MEDICARE | MN |