MEDICARE: DAYTON SPRINGFIELD HEART AND VASCULAR MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	35.074802	OH

General Provider Information

NPI Number	:	1053773838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYTON SPRINGFIELD HEART AND VASCULAR MEDICINE, LLC

Provider Business Mailing Address
First Line	:	7111 N MAIN ST STE 50
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45415-2558
Country	:	US
Telephone Number	:	937-424-5986
Fax Number	:	937-424-5989

Provider Business Practice Location Address
First Line	:	7111 N. MAIN ST.
Second Line	:	SUITE 50
City	:	DAYTON
State	:	OH
Zip	:	45415-2558
Country	:	US
Telephone Number	:	937-424-5986
Fax Number	:	937-424-5989

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MOHAMMAD ANWARUL KABIR
Credential	:	M.D.
Telephone Number	:	937-424-5986

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	02/03/2026

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