Healthcare Provider Details

I. General information

NPI: 1184587891
Provider Name (Legal Business Name): HAKIM MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 WEST ST
WARE MA
01082-1442
US

IV. Provider business mailing address

182 WEST ST
WARE MA
01082-1442
US

V. Phone/Fax

Practice location:
  • Phone: 413-967-5562
  • Fax: 888-815-0947
Mailing address:
  • Phone: 413-967-5562
  • Fax: 888-815-0947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL H HAKIM
Title or Position: MD, OWNER
Credential: MD
Phone: 413-967-5562