Provider Demographics
NPI:1467832634
Name:HAKKAPAKKI PLLC
Entity Type:Organization
Organization Name:HAKKAPAKKI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANTOSH
Authorized Official - Middle Name:N
Authorized Official - Last Name:HAKKAPAKKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-603-8789
Mailing Address - Street 1:3637 RIVER OAKS CT
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75707-1659
Mailing Address - Country:US
Mailing Address - Phone:773-603-8789
Mailing Address - Fax:888-242-8720
Practice Address - Street 1:1000 S BECKHAM AVE
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1908
Practice Address - Country:US
Practice Address - Phone:903-597-0351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9217207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty