Imam, Tanveer M

Imam, Tanveer M is an individual health care provider with primary practice located at 1501 N Cedar Crest Blvd Suite 110, Allentown PA 18104-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Imam, Tanveer M can be contacted via phone (610) 821-2828.

Contact Information

Primary practice address
1501 N Cedar Crest Blvd Suite 110 Allentown PA 18104-2309
Phone: (610) 821-2828
Fax: (610) 821-7915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD053040L Pennsylvania

Profile Details

NPI number 1942209697
LBN Legal business name Imam, Tanveer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated May 26th, 2021 - about 3 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 1942209697 NPPES
Pennsylvania MEDICAID 0001855384

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