Individual
MOHAMMED MUSHTAQ AHMED HAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-7836
Mailing address
451 E TOWN ST APT 209, COLUMBUS, OH 43215-4724
(614) 680-2552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301514464
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301514464
MI
Other
Enumeration date
04/10/2020
Last updated
07/14/2025
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