Provider Demographics
NPI:1124330766
Name:HANIF, ARSLAN MOHAMMED (MD)
Entity type:Individual
Prefix:DR
First Name:ARSLAN
Middle Name:MOHAMMED
Last Name:HANIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MOHAMMED
Other - Middle Name:ARSLAN
Other - Last Name:HANIF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:640 DEODAR LN
Mailing Address - Street 2:
Mailing Address - City:BRADBURY
Mailing Address - State:CA
Mailing Address - Zip Code:91008-1109
Mailing Address - Country:US
Mailing Address - Phone:818-262-7536
Mailing Address - Fax:310-782-1763
Practice Address - Street 1:1161 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2400
Practice Address - Country:US
Practice Address - Phone:626-359-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA118355208D00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice