Organization Active NPI

Hakim Medical Enterprises, P.a.

  • Urology Physician
  • Wayzata, MN
National Provider Identifier
1841590593
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
177 Issued in MN
Legal business name
HAKIM MEDICAL ENTERPRISES, P.A.
Practice address
2963 Fairchild Ave
Wayzata, MN 55391-2956
Phone
(952) 476-2065
Fax
(952) 476-7693
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Dr. Ali Aiman Hakim, M.D. PH.D
Title
President & Ceo
Phone
(952) 476-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 177 MN Primary

Addresses

Primary practice location

2963 Fairchild Ave
Wayzata, MN 55391-2956

Mailing address

2963 Fairchild Ave
Wayzata, MN 55391-2956
Phone (952) 476-2065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1841590593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 FAIRCHILD AVE",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912956",
            "telephone_number": "952-476-2065",
            "fax_number": "952-476-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 FAIRCHILD AVE",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912956",
            "telephone_number": "952-476-2065",
            "fax_number": "952-476-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAKIM MEDICAL ENTERPRISES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "HAKIM",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "AIMAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "952-476-2065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PH.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MN",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.