| Doctor Name: | HATIM TAHIR BURHANI |
| NPI Number: | 1366698524 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 5901002290 |
| Business Practice Address: | 20835 Mack Ave Grosse Pointe Woods, MI - 482361486 |
| Business Phone Number: | 3138847566 |
| Business Fax Number: | 3138843140 |
| Mailing Address: | 20835 Mack Ave, GROSSE POINTE WOODS |
| State: | MI |
| Postal Code: | 482361486 |
| Phone Number: | 3138847566 |
| Fax Number: | 3138843140 |
| NPI Enumeration Date: | 08/07/2008 |
| NPI Last Update Date: | 06/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 5901002290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |