Individual
TANVER AHMED MAZUMDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
400 SE DELAWARE AVE, ANKENY, IA 50021-3454
(515) 225-0188
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1217454
TX
363LF0000X
Family Nurse Practitioner
Primary
A179727
IA
Other
Enumeration date
08/19/2024
Last updated
12/30/2025
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