| Hakim Llc | |
|
4245 Johns Creek Pkwy Ste E Suwanee GA 30024-9122 | |
| (678) 456-8000 | |
| (470) 239-4151 |
| Full Name | Hakim Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4245 Johns Creek Pkwy Ste E, Suwanee, Georgia |
| Authorized Official Name and Position | Dawit Weldemichael (DIRECTOR) |
| Authorized Official Contact | 4048401217 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hakim Llc 4245 Johns Creek Pkwy Ste E Suwanee GA 30024-9122 Ph: (678) 456-8000 | Hakim Llc 4245 Johns Creek Pkwy Ste E Suwanee GA 30024-9122 Ph: (678) 456-8000 |
| NPI Number | 1619522026 |
|---|---|
| Provider Enumeration Date | 08/03/2019 |
| Last Update Date | 08/03/2019 |
| Medicare PECOS PAC ID | 4385074418 |
|---|---|
| Medicare Enrollment ID | O20200413003813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619522026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Dawit Assefa Weldemichael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386836583 PECOS PAC ID: 1759565179 Enrollment ID: I20161019000103 |
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