Healthcare Provider Details

I. General information

NPI: 1598871378
Provider Name (Legal Business Name): MAJD ABOUASSALI HAKIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 THOMAS JOHNSON DR SUITE C
FREDERICK MD
21702
US

IV. Provider business mailing address

65 THOMAS JOHNSON DR SUITE C
FREDERICK MD
21702
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-3836
  • Fax: 301-663-0122
Mailing address:
  • Phone: 301-663-3836
  • Fax: 301-663-0122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD0057714
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: