Mary Nguyen Halak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD432104 Issued in PA

Practice address

2301 S Broad St
Suite 205
Philadelphia, PA 19148-3542

Phone

(215) 551-8660

Fax

(215) 551-9247

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1306053301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CHESTNUT ST",
            "address_2": "14TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S BROAD ST",
            "address_2": "SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483542",
            "telephone_number": "215-551-8660",
            "fax_number": "215-551-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAK",
        "first_name": "MARY",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102341502",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nazanin Hakimi, M.A.
• Ummehani Hakimi, PA
• Natasha Chandini Hakkal, M.D.
• Hakon Hakonarson, MD
• Hal Rosenthaler DMD
• Kevin John Halbe, MD
• Nicholina Haldane-Lutterodt, MD
• Anne Marie Belmont Haldane, PT, DPT
• Debanjan Haldar, MD
• Malay Haldar, M.D

• Internal Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.