1043447576 NPI number — JOHN P HAKIM MD & ASSOCIATES PA

Table of content: (NPI 1043447576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043447576 NPI number — JOHN P HAKIM MD & ASSOCIATES PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN P HAKIM MD & ASSOCIATES PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043447576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3195 LACROSSE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUNKIRK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20754-2926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-880-5146
Provider Business Mailing Address Fax Number:
301-856-5454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 W DARES BEACH RD
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
PRINCE FREDERICK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20678-3119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-880-5146
Provider Business Practice Location Address Fax Number:
301-856-5454
Provider Enumeration Date:
06/11/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HAKIM
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
PIERRE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
443-880-5146

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: D47748 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com