Provider Demographics
NPI:1629952957
Name:ABDULHAKIM, HANAN
Entity type:Individual
Prefix:
First Name:HANAN
Middle Name:
Last Name:ABDULHAKIM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILKIN ST APT 207
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-4430
Mailing Address - Country:US
Mailing Address - Phone:763-238-8938
Mailing Address - Fax:
Practice Address - Street 1:3470 WASHINGTON DR STE 206
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1354
Practice Address - Country:US
Practice Address - Phone:651-505-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician