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FAYAZ AHMAD HAKIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8395
(810) 606-7550
(810) 606-6235
Mailing address
PO BOX 636388, CINCINNATI, OH 45263-6388

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53571
MN
207RC0000X
Cardiovascular Disease Physician
35.140382
OH
207RC0000X
Cardiovascular Disease Physician
44223
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301512775
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
717371
AZ
05
ENROLLED
IA
05
ENROLLED
MN
01
P00992463
RAILROAD MEDICARE
MN
Enumeration date
12/22/2008
Last updated
09/10/2024
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