Provider Demographics
NPI:1467436956
Name:HAKIM, SAKINA H (MD)
Entity Type:Individual
Prefix:DR
First Name:SAKINA
Middle Name:H
Last Name:HAKIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAKINA
Other - Middle Name:HUSAIN
Other - Last Name:MANSOOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:28555 ORCHARD LAKE RD
Mailing Address - Street 2:STE 120
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2973
Mailing Address - Country:US
Mailing Address - Phone:248-489-1070
Mailing Address - Fax:248-489-0850
Practice Address - Street 1:28555 ORCHARD LAKE RD
Practice Address - Street 2:STE 120
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2973
Practice Address - Country:US
Practice Address - Phone:248-489-1070
Practice Address - Fax:248-489-0850
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066174207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4287692Medicaid
H02285Medicare UPIN
MI4287692Medicaid