Provider Demographics
NPI:1972824340
Name:BURHANULLAH, MUHAMMAD HAROON (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:HAROON
Last Name:BURHANULLAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13822 MILL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1040
Mailing Address - Country:US
Mailing Address - Phone:410-550-1089
Mailing Address - Fax:
Practice Address - Street 1:5300 ALPHA COMMONS DR. 4TH FL # 417
Practice Address - Street 2:JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224
Practice Address - Country:US
Practice Address - Phone:410-550-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-19
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV292052084P0800X
PAMD4561792084P0800X
NY2819982084P0800X
MDD803402084P0800X, 2084P0805X
CAA1663262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry