Provider Demographics
NPI:1164290367
Name:BUUZA, HAKEEM
Entity Type:Individual
Prefix:MR
First Name:HAKEEM
Middle Name:
Last Name:BUUZA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9091 SNOWDEN RIVER PKWY # 1092
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1657
Mailing Address - Country:US
Mailing Address - Phone:240-549-0020
Mailing Address - Fax:
Practice Address - Street 1:7256 CALM SUNSET
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3400
Practice Address - Country:US
Practice Address - Phone:240-549-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist