MEDICARE: KHURRAM HANIF 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	207RG0100X	Gastroenterology Physician	D21996	MD

General Provider Information

NPI Number	:	1356319487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHURRAM HANIF M.D.

Provider Business Mailing Address
First Line	:	PO BOX 6004
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-0004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8850 COLUMBIA 100 PKWY
Second Line	:	SUITE 316
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2374
Country	:	US
Telephone Number	:	410-884-1234
Fax Number	:	410-884-3001

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/03/2010

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Directions to “ KHURRAM HANIF M.D.” Practice Location

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