Provider Demographics
NPI:1316911423
Name:JANIF, MOHAMMED I (MD, MBBS, FACC)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:I
Last Name:JANIF
Suffix:
Gender:M
Credentials:MD, MBBS, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2370
Mailing Address - Country:US
Mailing Address - Phone:785-625-4699
Mailing Address - Fax:785-261-7424
Practice Address - Street 1:2220 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2370
Practice Address - Country:US
Practice Address - Phone:785-625-4699
Practice Address - Fax:785-261-7424
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29501207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100410030CMedicaid
KS100410030 DMedicaid
KS105559Medicare ID - Type UnspecifiedHUTCHINSON CLINIC PROVIDE
KS100410030 DMedicaid
KS104330Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #