Provider Demographics
NPI:1144529777
Name:HAKEEM, ROBBIE (RADONC PHYSICIST)
Entity type:Individual
Prefix:MR
First Name:ROBBIE
Middle Name:
Last Name:HAKEEM
Suffix:
Gender:M
Credentials:RADONC PHYSICIST
Other - Prefix:
Other - First Name:RABI
Other - Middle Name:
Other - Last Name:ALHAKEEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RADONC PHYSICIST
Mailing Address - Street 1:1765 RED GRAVE ROAD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922
Mailing Address - Country:US
Mailing Address - Phone:865-805-9673
Mailing Address - Fax:
Practice Address - Street 1:1765 REDGRAVE RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-9449
Practice Address - Country:US
Practice Address - Phone:865-805-9673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist