Provider Demographics
NPI:1780801738
Name:HAKIMI, PAYAM (DO)
Entity type:Individual
Prefix:DR
First Name:PAYAM
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9630 E BAY HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-2104
Mailing Address - Country:US
Mailing Address - Phone:305-397-8282
Mailing Address - Fax:305-397-8434
Practice Address - Street 1:9630 E BAY HARBOR DR
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-2104
Practice Address - Country:US
Practice Address - Phone:305-397-8282
Practice Address - Fax:305-397-8434
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9236207Q00000X
FLOS16374207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine