Individual
FARIS HAKKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, POB 408, WASHINGTON, DC 20010-2927
(202) 877-5007
(202) 877-0090
Mailing address
4618 FOXHALL CRES NW, WASHINGTON, DC 20007-1061
(202) 744-6314
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD21291
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026637100
—
DC
01
—
521958465
TAX ID FOR HAKKI MEDICAL ASSOCIATION
DC
01
—
796207
SOLO PRACTICE PTAN 792607
DC
Enumeration date
08/07/2006
Last updated
01/28/2013
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