Healthcare Provider Details

I. General information

NPI: 1184062598
Provider Name (Legal Business Name): MIAN H HANIF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N GILMOR ST
BALTIMORE MD
21217-2207
US

IV. Provider business mailing address

3601 SW 160TH AVE STE 250
MIRAMAR FL
33027-6314
US

V. Phone/Fax

Practice location:
  • Phone: 954-399-4673
  • Fax:
Mailing address:
  • Phone: 954-399-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD0093632
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: