Active NPI
Mian K Hanif, MD
- Family Medicine Physician
- Midland, MI
National Provider Identifier
1013114495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MH090652
- Practice address
- 4009 Orchard Dr
Midland, MI 48640-6122 - Phone
- (989) 839-3510
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MH090652 | MI | Primary |
Addresses
Primary practice location
4009 Orchard Dr
Midland, MI 48640-6122
Mailing address
2618 W Sugnet Rd
Midland, MI 48640-2647
Phone (989) 839-9002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301090652 | Other | MI | ST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH090652 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013114495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 W SUGNET RD",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402647",
"telephone_number": "989-839-9002",
"fax_number": "989-839-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4009 ORCHARD DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486406122",
"telephone_number": "989-839-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANIF",
"first_name": "MIAN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "MH090652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST LICENSE",
"identifier": "4301090652",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.