Provider Demographics
NPI:1932259272
Name:HISHAM HAKIM, M.D., M.P.H., P.C.
Entity Type:Organization
Organization Name:HISHAM HAKIM, M.D., M.P.H., P.C.
Other - Org Name:GREYSTONE NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HISHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-991-3300
Mailing Address - Street 1:7500 HUGH DANIEL DRIVE SUITE 250
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:205-991-3300
Mailing Address - Fax:205-991-3327
Practice Address - Street 1:7500 HUGH DANIEL DR STE 250
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7146
Practice Address - Country:US
Practice Address - Phone:205-991-3300
Practice Address - Fax:205-991-3327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14336174400000X
AL00025882174400000X
AL00007653174400000X
ALPTH2015174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI731Medicare PIN
AL6485690001Medicare NSC
ALF153Medicare PIN