Provider Demographics
NPI:1750697892
Name:UQDAH, HAKIM TAALIB (DO, PHARMD,)
Entity type:Individual
Prefix:DR
First Name:HAKIM
Middle Name:TAALIB
Last Name:UQDAH
Suffix:
Gender:M
Credentials:DO, PHARMD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3407 WILKENS AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5222
Mailing Address - Country:US
Mailing Address - Phone:410-644-5111
Mailing Address - Fax:410-644-2715
Practice Address - Street 1:3407 WILKENS AVE STE 300
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5222
Practice Address - Country:US
Practice Address - Phone:410-644-5111
Practice Address - Fax:410-644-2715
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441417183500000X
PAOT014230207R00000X
MDH0079985207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No183500000XPharmacy Service ProvidersPharmacist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine