Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301503765 | MI |
Y | 207VE0102X | Reproductive Endocrinologist | 4301503765 | MI |
NPI | 1386058055 |
---|---|
Provider Name | Miss Sasha Hakman |
First Address | Southfield, MI 48034-1700 |
Second Address | Southfield, MI 48034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 03/11/2021 |