MEDICARE: TANVIR BIN HOSSAIN M.D.

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	10067	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	:	1881613891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANVIR BIN HOSSAIN M.D.

Provider Business Mailing Address
First Line	:	3196 S MARYLAND PKWY STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2313
Country	:	US
Telephone Number	:	702-649-8009
Fax Number	:	702-849-8049

Provider Business Practice Location Address
First Line	:	3196 S MARYLAND PKWY STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2313
Country	:	US
Telephone Number	:	702-649-8009
Fax Number	:	702-849-8049

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/15/2022

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