Individual
FARES S. HAKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-0688
Mailing address
4828 N DAVIS HWY, PENSACOLA, FL 32503-2341
(850) 477-8109
(850) 478-2412
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101227714
VA
207RG0100X
Gastroenterology Physician
Primary
ME81200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001996645001
UNITED HEALTH CARE
—
05
—
009937070
—
AL
01
—
0494478
CIGNA
—
01
—
059027297
BCBS OF ALABAMA
AL
01
—
100014631
RAILROAD MEDICARE
—
05
—
259729200
—
FL
01
—
51643
BCBS OF FLORIDA
FL
01
—
7940192
AETNA
—
01
—
A954
HEALTH OPTIONS
—
Enumeration date
10/02/2006
Last updated
10/17/2024
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