| Organization Name: | HISHAK HAKIM M.D., M.P.H., P.C. |
| NPI Number: | 1205246709 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HISHAM HAKIM (PHYSICIAN/OWNER) |
| Mailing Address: | 202 Medical Park Ofc Park Talladega |
| State: | AL US |
| Postal Code: | 351602213 |
| Phone Number: | 2563627009 |
| Fax Number: | 2563620190 |
| NPI Enumeration Date: | 05/06/2014 |
| NPI Last Update Date: | 05/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 14336 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |