Miandad has been leading Naseem Healthcare since 2011, which is a subsidiary of 33 Holdings. It provides medical services through seven medical centers and five pharmacies. In 2022, Naseem Healthcare launched its surgical center and announced the launch of Naseem Humans, the CSR arm of Naseem Healthcare. Miandad is also the chairman and managing director of 33 Holdings, which employs over 1,000 people.