Provider Demographics
NPI:1114622792
Name:HAKKI MEDICAL TECHNOLOGIES
Entity Type:Organization
Organization Name:HAKKI MEDICAL TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHILAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-340-7335
Mailing Address - Street 1:27789 MOUND RD
Mailing Address - Street 2:100
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092
Mailing Address - Country:US
Mailing Address - Phone:312-340-7335
Mailing Address - Fax:
Practice Address - Street 1:27789 MOUND RD
Practice Address - Street 2:100
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092
Practice Address - Country:US
Practice Address - Phone:312-340-7335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies