Provider Demographics
NPI:1487792503
Name:HANIF, MUHAMMAD S (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:S
Last Name:HANIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 W SIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1528
Mailing Address - Country:US
Mailing Address - Phone:201-423-0428
Mailing Address - Fax:
Practice Address - Street 1:664 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4726
Practice Address - Country:US
Practice Address - Phone:201-292-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27764207R00000X
WAMD61285705207R00000X
AZ38054208M00000X
NJ25 MA08540300207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist