Provider Demographics
NPI:1154976330
Name:HAKIM, MUHAMMAD OMER (FCAP, FASCP, FRCPC,)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:OMER
Last Name:HAKIM
Suffix:
Gender:M
Credentials:FCAP, FASCP, FRCPC,
Other - Prefix:DR
Other - First Name:OMAR
Other - Middle Name:MUHAMMAD
Other - Last Name:HAKIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-8716
Mailing Address - Fax:
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8716
Practice Address - Fax:914-493-1145
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69372207ZP0101X
FLME143342207ZC0500X
NY327310207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology