Provider Demographics
NPI:1619522026
Name:HAKIM LLC
Entity Type:Organization
Organization Name:HAKIM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWIT
Authorized Official - Middle Name:
Authorized Official - Last Name:WELDEMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-840-1217
Mailing Address - Street 1:4245 JOHNS CREEK PKWY STE E
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-9122
Mailing Address - Country:US
Mailing Address - Phone:678-456-8000
Mailing Address - Fax:470-239-4151
Practice Address - Street 1:4245 JOHNS CREEK PKWY STE E
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-9122
Practice Address - Country:US
Practice Address - Phone:678-456-8000
Practice Address - Fax:470-239-4151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-03
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center