Dara, Tanvir M
Dara, Tanvir M is an individual health care provider with primary practice located at 15 S Main St Ste 270 , Jamestown NY 14701-6629. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dara, Tanvir M can be contacted via phone (716) 489-3144.Contact Information
Primary practice address
15 S Main St Ste 270
Jamestown NY 14701-6629
Phone: (716) 489-3144
Fax: (716) 489-3152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 197036 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 197036 | New York |
Profile Details
NPI number | 1366409906 |
---|---|
LBN Legal business name | Dara, Tanvir M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
Last updated | Dec 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366409906 | NPPES |
New York | MEDICAID | 01613065 |
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