Tanvir, Fawad
Tanvir, Fawad is an individual health care provider with primary practice located at 24 S 1100 E Ste 310 , Salt Lake City UT 84102-1500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Tanvir, Fawad can be contacted via phone (801) 328-1260.Contact Information
Primary practice address
24 S 1100 E Ste 310
Salt Lake City UT 84102-1500
Phone: (801) 328-1260
Fax: (801) 350-4361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 69387081205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 31837 | Arizona |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 31837 | Arizona |
Profile Details
| NPI number | 1164425294 |
|---|---|
| LBN Legal business name | Tanvir, Fawad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jun 13th, 2023 - about 2 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 | 1164425294 | NPPES |
| Arizona | MEDICAID | 865751 |
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