Individual
FATIMA FATIHA ABDUL-HAKEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013-3958
(610) 619-8590
(610) 619-8591
Mailing address
30 MEDICAL CENTER BLVD, SUITE 404, UPLAND, PA 19013-3958
(610) 619-8590
(610) 619-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD429199
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017410450001
—
PA
05
—
1017410450002
—
PA
05
—
1017410450003
—
PA
01
—
2088899
HIGHMARK BLUE SHIELD
PA
01
—
2862398000
BCBS - PA
PA
Enumeration date
10/05/2006
Last updated
05/20/2013
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