Provider Demographics
NPI:1598871378
Name:HAKIM, MAJD ABOUASSALI (MD)
Entity Type:Individual
Prefix:
First Name:MAJD
Middle Name:ABOUASSALI
Last Name:HAKIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:65 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702
Mailing Address - Country:US
Mailing Address - Phone:301-663-3836
Mailing Address - Fax:301-663-0122
Practice Address - Street 1:65 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE C
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-663-3836
Practice Address - Fax:301-663-0122
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0057714207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
H41754Medicare UPIN
MDK935Medicare PIN
K935G536Medicare ID - Type Unspecified
MDP00030233Medicare PIN