MEDICARE: DR. MALAIKA HAKIMA MD

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	208D00000X	General Practice Physician	12420	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051089471	OTHER	AL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	79961	OTHER	FL	BLUE CROSS BLUE SHIELD
6	101513	OTHER	FL	HEALTH FIRST NETWORK/BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689649592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MALAIKA HAKIMA MD

Provider Business Mailing Address
First Line	:	PO DRAWER 1911
Second Line	:	1831 ROOSEVELT STREET
City	:	FLOMATON
State	:	AL
Zip	:	36441-1911
Country	:	US
Telephone Number	:	251-296-0136
Fax Number	:	251-296-1916

Provider Business Practice Location Address
First Line	:	PO DRAWER 1911
Second Line	:
City	:	FLOMATON
State	:	AL
Zip	:	36441-1911
Country	:	US
Telephone Number	:	251-296-0136
Fax Number	:	251-296-1916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	01/14/2020

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Directions to “ DR. MALAIKA HAKIMA MD” Practice Location

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