MEDICARE: DR. MOHAMMAD HUMAYUN KABIR MD

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	207R00000X	Internal Medicine Physician	Q6037	TX
2	207RN0300X	Nephrology Physician	MD.29441	AL
3	207RN0300X	Nephrology Physician	Q6037	TX

General Provider Information

NPI Number	:	1285859389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD HUMAYUN KABIR MD

Provider Business Mailing Address
First Line	:	1000 W CANNON ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3029
Country	:	US
Telephone Number	:	817-725-7900
Fax Number	:	682-207-1030

Provider Business Practice Location Address
First Line	:	9947 N MACARTHUR BLVD
Second Line	:	STE 150
City	:	IRVING
State	:	TX
Zip	:	75063-4716
Country	:	US
Telephone Number	:	817-877-5858
Fax Number	:	817-335-4418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	09/02/2022

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