Provider Demographics
NPI:1649568056
Name:ALEXANDER ABDUL-HAKIM, NEKEISHA (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEKEISHA
Middle Name:
Last Name:ALEXANDER ABDUL-HAKIM
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:NEKEISHA
Other - Middle Name:
Other - Last Name:ALEXANDER ABDUL-HAKIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:805 E WILLOW GROVE AVE STE 1B
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7968
Mailing Address - Country:US
Mailing Address - Phone:215-844-0308
Mailing Address - Fax:215-844-0370
Practice Address - Street 1:805 E WILLOW GROVE AVE STE 1B
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-7968
Practice Address - Country:US
Practice Address - Phone:215-844-0308
Practice Address - Fax:215-844-0370
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006270213ES0103X, 213E00000X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine