Organization Active NPI

Mohamad Hakim MD PC

  • Surgery Physician
  • Dearborn, MI
National Provider Identifier
1386838514
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
407098 Issued in MI
Legal business name
MOHAMAD HAKIM MD PC
Practice address
2012 Monroe St
Dearborn, MI 48124-2938
Phone
(313) 274-7770
Fax
(313) 274-7737
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Mohamad Hakim, MD
Title
Owner
Phone
(313) 274-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 407098 MI Primary

Addresses

Primary practice location

2012 Monroe St
Dearborn, MI 48124-2938

Mailing address

2012 Monroe St
Dearborn, MI 48124-2938
Phone (313) 274-7770

Other identifiers 2

IdentifierTypeStateIssuer
0208249562OtherMIBCBS PIN
4536751MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1386838514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-274-7770",
            "fax_number": "313-274-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242938",
            "telephone_number": "313-274-7770",
            "fax_number": "313-274-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMAD HAKIM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-274-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "407098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0208249562",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4536751",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.