Healthcare Provider Details

I. General information

NPI: 1730468570
Provider Name (Legal Business Name): JALAL EDDIN HAKMEI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 SAINT MATTHEWS RD
ORANGEBURG SC
29118-1443
US

IV. Provider business mailing address

3031 SAINT MATTHEWS RD
ORANGEBURG SC
29118-1443
US

V. Phone/Fax

Practice location:
  • Phone: 803-531-2677
  • Fax:
Mailing address:
  • Phone: 803-531-2677
  • Fax: 803-531-6137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number98846
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35.149673
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125060198
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number36627
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: