IMTIYAZ HUSSAIN HAKEEM (NPI# 1548412372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548412372 |
| Entity Type | Individual |
| Full Name | IMTIYAZ HUSSAIN HAKEEM |
| Credential | MD |
| Practice Address |
2601 Thornton Ln Temple TX 76502-1808 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547246622 |
| Practice Fax Number | 2547426620 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Q1987 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2601 THORNTON LN |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338992 | Christopher Glenn Browning | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2005-07-07 |
| 1679002653 | Megan Joy Pitts | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2017-06-05 |
| 1700318748 | Shirish Pradhan | Physician Assistant | 2601 Thornton Ln, Temple, TX 76502-1808 | 2017-03-29 |
| 1992188452 | Evangelos Kyprios | Podiatrist | 2601 Thornton Ln, 200, Temple, TX 76502-1808 | 2015-07-01 |
| 1710392279 | Lanster Rusk Martin | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2014-06-24 |
| 1194130880 | Jonathan Lorenzana | Podiatrist | 2601 Thornton Ln, Temple, TX 76502-1808 | 2014-06-22 |
| 1366880270 | Clifton Hayes | Dietitian, Registered | 2601 Thornton Ln, Temple, TX 76502-1808 | 2013-06-13 |
| 1609211804 | Kate Lynn Horstmeyer | Dietitian, Registered | 2601 Thornton Ln, Ms-a1-406, Temple, TX 76502-1808 | 2013-05-02 |
| 1285983486 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2601 Thornton Ln, Temple, TX 76502-1808 | 2012-09-04 |
| 1598053910 | Rebecca Suzan Smith | Podiatrist | 2601 Thornton Ln, Attn: Rebecca Smith, Dept of Podiatry, Temple, TX 76502-1808 | 2011-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750910436 | John S Kelley | Internal Medicine | 2401 S 31st St # Ms -ag, Temple, TX 76508-0001 | 2020-04-05 |
| 1477073161 | Sheena Simon | Internal Medicine | Scott and White Memorial Hospital 2401 S St, Temple, TX 76508-0001 | 2017-06-22 |
| 1033646252 | Hannah Pederson | Internal Medicine | 2401 S 31st St # Ms 27104a, Temple, TX 76508-0001 | 2017-05-18 |
| 1669821070 | Brett Deatherage | Internal Medicine | Scott & White Healthcare - Internal Medicine, 2401 S. 31st St., Temple, TX 76508 | 2016-06-07 |
| 1770961484 | Amy Elizabeth Barnett | Internal Medicine | Department of Internal Medicine 2401 S 31st St, Temple, TX 76508-0001 | 2015-05-13 |
| 1265878045 | Rachael Lea Pattison | Internal Medicine | 7921 Honeysuckle, Temple, TX 76502-5554 | 2013-05-20 |
| 1376886853 | Zunair Nazim Afghani | Internal Medicine | 2401 S 31st St # 9c513c, Temple, TX 76508 | 2013-04-03 |
| 1710245162 | Constance Larea Cole | Internal Medicine | 463 Westfield Blvd, Apt. 836, Temple, TX 76502-5318 | 2012-04-23 |
| 1891089025 | Aruna Lakshmi Jahoor | Internal Medicine | Dept of Internal Medicine 1605 S 31st St, Temple, TX 76508-0001 | 2011-06-06 |
| 1689814386 | Mammen Ashish Sam | Internal Medicine | 2416 S 13th St Apt 626, Temple, TX 76504-7815 | 2009-02-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.