Provider Demographics
NPI:1689966111
Name:MUHAMMAD, HANIFAH TAUHEEDAH (ND)
Entity Type:Individual
Prefix:
First Name:HANIFAH
Middle Name:TAUHEEDAH
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 W MCDOWELL RD APT 2112
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85035-4294
Mailing Address - Country:US
Mailing Address - Phone:602-759-0762
Mailing Address - Fax:
Practice Address - Street 1:7850 W MCDOWELL RD APT 2112
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85035-4294
Practice Address - Country:US
Practice Address - Phone:602-759-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
AZ11-1142175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No174H00000XOther Service ProvidersHealth Educator