Healthcare Provider Details

I. General information

NPI: 1861449936
Provider Name (Legal Business Name): IMRAAN HANIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 E 22ND ST
CLEVELAND OH
44115-3111
US

IV. Provider business mailing address

6220 PENFIELD LN
SOLON OH
44139-5938
US

V. Phone/Fax

Practice location:
  • Phone: 216-861-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35064549H
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35064549H
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: