HOSAM HAKIM (NPI# 1619228483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619228483 |
| Entity Type | Individual |
| Full Name | HOSAM HAKIM |
| Credential | M.D |
| Practice Address |
19229 Mack Ave Ste 24 Grosse Pointe Woods MI 48236-2857 |
| Practice Telephone | 5868845522 |
| Practice Fax Number | 3133437840 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125062123 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301109700 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
19229 MACK AVE STE 24 |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588678155 | Paul T Porter | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1336602671 | Gail M Grunkemeyer | Nurse Practitioner | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2019-04-12 |
| 1982702973 | Great Lakes Cancer Mgmt Specialists | Non-Pharmacy Dispensing Site | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-09-21 |
| 1568476547 | Hematology Oncology Assoc. East PC | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1407860364 | Jerome E Seid | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1144234782 | Wajahat A Khan | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1184638041 | Muhammad S Shurafa | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1912911652 | Daniel J Lehman | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1659385300 | Laura A Biernat | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1003820648 | Carrie L Dul | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326067455 | Fikry F Ibrahim | Internal Medicine | 20825 Mack Ave, Grosse Pointe Woods, MI 48236-1485 | 2006-07-19 |
| 1518141977 | Lymphoma Clinic of Michigan | Internal Medicine | 19229 Mack Ave, Grosse Pointe Woods, MI 48236-2858 | 2007-12-20 |
| 1740302850 | Daniel Lebovic | Internal Medicine | 19229 Mack Ave, Suite 24, Grosse Pointe Woods, MI 48236 | 2007-04-06 |
| 1083747976 | Zyad Kafri | Internal Medicine | 19229 Mack Ave, Suite 23, Grosse Pointe Woods, MI 48236-2858 | 2007-03-13 |
| 1568476547 | Hematology Oncology Assoc. East PC | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1407860364 | Jerome E Seid | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1710991443 | Robert Jay Leonard | Internal Medicine | 19229 Mack Ave, Suite 24, Grosse Pointe Woods, MI 48236 | 2006-07-28 |
| 1912911652 | Daniel J Lehman | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1003820648 | Carrie L Dul | Internal Medicine | 19229 Mack Ave Ste 24, Grosse Pointe Woods, MI 48236-2857 | 2006-07-28 |
| 1013902691 | Ayad M. Al-katib | Internal Medicine | 19229 Mack Ave, Suite 34, Grosse Pointe Woods, MI 48236-2858 | 2005-09-20 |
| Find all providers in GROSSE POINTE WOODS | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
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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.