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Individual
DR. TANVIR MAHTAB
Active
Individual
DR. TANVIR MAHTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28238
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28238
SC LICENSE
SC
Enumeration date
05/01/2008
Last updated
11/29/2021
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