MEDICARE: HANIFA A. JONES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	27646	AZ
2	208D00000X	General Practice Physician	27646	AZ

General Provider Information

NPI Number	:	1164479440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANIFA A. JONES M.D.

Provider Business Mailing Address
First Line	:	261 N ROOSEVELT AVE
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85226-2617
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:	888-316-1686

Provider Business Practice Location Address
First Line	:	287 E HUNT HWY STE 105
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-5096
Country	:	US
Telephone Number	:	480-677-8282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	01/15/2024

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