Provider Demographics
NPI:1356632897
Name:SHAKIR, HAKEEM J
Entity Type:Individual
Prefix:
First Name:HAKEEM
Middle Name:J
Last Name:SHAKIR
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 1:608 NW 9TH ST STE 5010
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1058
Mailing Address - Country:US
Mailing Address - Phone:405-979-7875
Mailing Address - Fax:405-979-7880
Practice Address - Street 1:608 NW 9TH ST STE 5010
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102
Practice Address - Country:US
Practice Address - Phone:405-979-7875
Practice Address - Fax:405-979-7880
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OK33540207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty