Organization
MOHAMAD HAKIM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMAD HAKIM MD (OWNER)
(313) 274-7770
Entity
Organization
Contact information
Practice address
2012 MONROE ST, DEARBORN, MI 48124-2938
(313) 274-7770
(313) 274-7737
Mailing address
2012 MONROE ST, DEARBORN, MI 48124-2938
(313) 274-7770
(313) 274-7737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
407098
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208249562
BCBS PIN
MI
05
—
4536751
—
MI
Enumeration date
08/30/2007
Last updated
08/30/2007
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