Individual
SHABBIR HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-2000
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
159556
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010071904
UNIVERA
—
01
—
000510928011
BLUE SHIELD OF WESTERN NY
—
01
—
000510928016
BLUE SHIELD OF WESTERN NY
—
05
—
01185088
—
NY
01
—
040426001901
FIDELIS
—
01
—
040426001902
FIDELIS
—
01
—
1595560W
WORKERS COMPENSATION
NY
01
—
161362895
EMPIRE
—
01
—
360004071
RAILROAD MEDICARE
—
01
—
4903080
INDEPENDENT HEALTH
—
01
—
P00066106
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
04/18/2019
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