Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 41981 | TN |
N | 2080P0208X | Pediatric Infectious Diseases | 41981 | TN |
NPI | 1184855686 |
---|---|
Provider Name | Dr. Hana Hakim |
First Address | Memphis, TN 38105-3678 |
Second Address | Memphis, TN 38105-3678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2009 |
Last Update Date | 31/07/2009 |