MEDICARE: TANVIR AHMAD 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	174400000X	Specialist	7447	NV
2	207RI0011X	Interventional Cardiology Physician	7447	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457334864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANVIR AHMAD MD

Provider Business Mailing Address
First Line	:	7020 SMOKE RANCH RD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3111
Country	:	US
Telephone Number	:	702-258-1601
Fax Number	:	702-870-1995

Provider Business Practice Location Address
First Line	:	7020 SMOKE RANCH RD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-3111
Country	:	US
Telephone Number	:	702-366-9522
Fax Number	:	702-341-5206

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

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	08/29/2025

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