Provider Demographics
NPI:1144731100
Name:HANIF, MUHAMMAD OWAIS (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:OWAIS
Last Name:HANIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:245 N 15TH ST # MS 437
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1101
Mailing Address - Country:US
Mailing Address - Phone:215-762-6144
Mailing Address - Fax:215-762-8366
Practice Address - Street 1:1821 SWEETBAY DR STE 1
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1664
Practice Address - Country:US
Practice Address - Phone:410-546-4427
Practice Address - Fax:443-736-4671
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0093108207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD229167300Medicaid