MEDICARE: JOHN P HAKIM MD & ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RC0000X	Cardiovascular Disease Physician	D47748	MD

General Provider Information

NPI Number	:	1043447576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN P HAKIM MD & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	3195 LACROSSE CT
Second Line	:
City	:	DUNKIRK
State	:	MD
Zip	:	20754-2926
Country	:	US
Telephone Number	:	443-880-5146
Fax Number	:	301-856-5454

Provider Business Practice Location Address
First Line	:	135 W DARES BEACH RD
Second Line	:	SUITE 101
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3119
Country	:	US
Telephone Number	:	443-880-5146
Fax Number	:	301-856-5454

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN PIERRE HAKIM
Credential	:	MD
Telephone Number	:	443-880-5146

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	10/29/2014

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