Provider Demographics
NPI:1356439012
Name:HALEEM, MUHAMMAD ABDUL (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ABDUL
Last Name:HALEEM
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 1:2323 E SAN TAN ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-4052
Mailing Address - Country:US
Mailing Address - Phone:480-786-4992
Mailing Address - Fax:480-786-4992
Practice Address - Street 1:2323 E SAN TAN ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-4052
Practice Address - Country:US
Practice Address - Phone:480-728-6000
Practice Address - Fax:480-728-6900
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28627207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG28496Medicare UPIN