# DR. KHAN MERAJ TANVEER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780899062
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | WV 22922 | WV | Yes |
| 208D00000X | General Practice Physician | WV22922 | WV | — |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 10/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001973506 | MS BCBS | WV |
| 05 | — | 3810010811 | — | WV |