MEDICARE: MUHAMMAD HANIF PATHAN MD

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	207ZP0101X	Anatomic Pathology Physician	2008015783	MO
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	2008015783	MO
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	2018-01387	NC

General Provider Information

NPI Number	:	1326150301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD HANIF PATHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 505326
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63150-5326
Country	:	US
Telephone Number	:	314-733-5237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 W LIBERTY ST
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1921
Country	:	US
Telephone Number	:	573-756-6451
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/25/2026

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