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Individual

MARY KATTA HAKIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5716 MICHIGAN AVE, DETROIT, MI 48210-3039
(313) 554-1095
(313) 899-3560
Mailing address
559 W GRAND BLVD, DETROIT, MI 48216-2200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301086166
MI
208000000X
Pediatrics Physician
4301086166
MI

Other

Enumeration date
05/30/2007
Last updated
05/18/2022
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