Provider Demographics
NPI:1417768128
Name:HAKIMI, UMMEHANI (PA)
Entity type:Individual
Prefix:
First Name:UMMEHANI
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 N 36TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5639
Mailing Address - Country:US
Mailing Address - Phone:215-895-2000
Mailing Address - Fax:
Practice Address - Street 1:60 N 36TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5639
Practice Address - Country:US
Practice Address - Phone:609-475-2258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant