Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0047748 | MD |
N | 207U00000X | Nuclear Medicine Specialist | D0047748 | MD |
NPI | 1730137688 |
---|---|
Provider Name | Dr. John P. Hakim |
First Address | Clinton, MD 20735-1628 |
Second Address | Clinton, MD 20735-1628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 09/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G45273 | (02) | MD |