Provider Demographics
NPI:1508397860
Name:MALIN, HAKEEM (DNP, PRACTITIONER)
Entity Type:Individual
Prefix:DR
First Name:HAKEEM
Middle Name:
Last Name:MALIN
Suffix:
Gender:M
Credentials:DNP, PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GEORGESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-3304
Mailing Address - Country:US
Mailing Address - Phone:614-274-7771
Mailing Address - Fax:614-274-7720
Practice Address - Street 1:1000 GEORGESVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3304
Practice Address - Country:US
Practice Address - Phone:614-274-7771
Practice Address - Fax:614-274-7720
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020612363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology