Provider Demographics
NPI:1609441948
Name:HAKIM, ANIQ RAHIBUL (MD)
Entity Type:Individual
Prefix:
First Name:ANIQ
Middle Name:RAHIBUL
Last Name:HAKIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CITY VIEW CIRCLE
Mailing Address - Street 2:
Mailing Address - City:BARRIE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:LYN7V1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 SOUTH WASHINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505
Practice Address - Country:US
Practice Address - Phone:570-591-5131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program