1144731100 NPI number — MUHAMMAD OWAIS HANIF MD

Table of content: MUHAMMAD OWAIS HANIF MD (NPI 1144731100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144731100 NPI number — MUHAMMAD OWAIS HANIF MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANIF
Provider First Name:
MUHAMMAD
Provider Middle Name:
OWAIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144731100
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
245 N 15TH ST # MS 437
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19102-1101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-762-6144
Provider Business Mailing Address Fax Number:
215-762-8366

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1821 SWEETBAY DR STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804-1664
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-546-4427
Provider Business Practice Location Address Fax Number:
443-736-4671
Provider Enumeration Date:
10/18/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  D0093108 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 229167300 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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