Provider Demographics
NPI:1750697892
Name:UQDAH, HAKIM TAALIB (DO, PHARMD,)
Entity type:Individual
Prefix:DR
First Name:HAKIM
Middle Name:TAALIB
Last Name:UQDAH
Suffix:
Gender:M
Credentials:DO, PHARMD,
Other - Prefix:
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Mailing Address - Street 1:3421 CONCORD ROAD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:25 MONUMENT ROAD STE 140
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-1121
Practice Address - Country:US
Practice Address - Phone:717-741-8003
Practice Address - Fax:717-741-8016
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARP441417183500000X
PAOT014230207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No183500000XPharmacy Service ProvidersPharmacist