Provider Demographics
NPI:1689649592
Name:HAKIMA, MALAIKA (MD)
Entity Type:Individual
Prefix:DR
First Name:MALAIKA
Middle Name:
Last Name:HAKIMA
Suffix:
Gender:F
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:PO DRAWER 1911
Mailing Address - Street 2:1831 ROOSEVELT STREET
Mailing Address - City:FLOMATON
Mailing Address - State:AL
Mailing Address - Zip Code:36441-1911
Mailing Address - Country:US
Mailing Address - Phone:251-296-0136
Mailing Address - Fax:251-296-1916
Practice Address - Street 1:PO DRAWER 1911
Practice Address - Street 2:
Practice Address - City:FLOMATON
Practice Address - State:AL
Practice Address - Zip Code:36441-1911
Practice Address - Country:US
Practice Address - Phone:251-296-0136
Practice Address - Fax:251-296-1916
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12420208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL187817OtherHEALTHEASE MEDICAID
AL529905520Medicaid
AL051089471OtherBLUE CROSS BLUE SHIELD
FL058005800Medicaid
FL79961OtherBLUE CROSS BLUE SHIELD
FL101513OtherHEALTH FIRST NETWORK/BCBS
AL000089471Medicaid
FL187817OtherHEALTHEASE MEDICAID