Provider Demographics
NPI:1740757053
Name:ALHAKIM, KAISAR MOHAMMED
Entity Type:Individual
Prefix:
First Name:KAISAR
Middle Name:MOHAMMED
Last Name:ALHAKIM
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 ODDSTAD DR APT 68
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-3425
Mailing Address - Country:US
Mailing Address - Phone:415-748-8882
Mailing Address - Fax:
Practice Address - Street 1:165 ODDSTAD DR APT 68
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-3425
Practice Address - Country:US
Practice Address - Phone:415-748-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)