Basic Information
| Provider Information | |||||||||
| NPI: | 1144731100 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HANIF | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | OWAIS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 245 N 15TH ST # MS 437 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191021101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157626144 | ||||||||
| FaxNumber: | 2157628366 | ||||||||
| Practice Location | |||||||||
| Address1: | 245 N. 15TH ST, MS 437 | ||||||||
| Address2: | 6TH FLOOR NCB | ||||||||
| City: | PHILADELPHA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157621172 | ||||||||
| FaxNumber: | 2157628366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2017 | ||||||||
| LastUpdateDate: | 10/18/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | MT214683 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.