Provider Demographics
NPI:1952854994
Name:HANEEF MOHAMED, ATIF WASIM (MBBS, DNB)
Entity Type:Individual
Prefix:DR
First Name:ATIF WASIM
Middle Name:
Last Name:HANEEF MOHAMED
Suffix:
Gender:M
Credentials:MBBS, DNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 STONERIVER DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-4554
Mailing Address - Country:US
Mailing Address - Phone:205-746-4244
Mailing Address - Fax:
Practice Address - Street 1:619 19TH ST S
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-1900
Practice Address - Country:US
Practice Address - Phone:205-934-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ13114012022085R0202X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program