Provider Demographics
NPI:1720822653
Name:IQTIDAR HANIF MD
Entity type:Organization
Organization Name:IQTIDAR HANIF MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IQTIDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HANIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-864-6339
Mailing Address - Street 1:455 SCHOOL ST STE 27
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4595
Mailing Address - Country:US
Mailing Address - Phone:281-357-0666
Mailing Address - Fax:281-255-2740
Practice Address - Street 1:455 SCHOOL ST STE 27
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4595
Practice Address - Country:US
Practice Address - Phone:281-357-0666
Practice Address - Fax:281-255-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty