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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366409906 NPPES
New York MEDICAID 01613065

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