Individual
DR. FAWAD TANVIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Mailing address
24 S 1100 E STE 310, SALT LAKE CITY, UT 84102-1500
(801) 328-1260
(801) 350-4361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31837
AZ
207RI0200X
Infectious Disease Physician
31837
AZ
207RI0200X
Infectious Disease Physician
Primary
69387081205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865751
—
AZ
Enumeration date
05/23/2005
Last updated
06/13/2023
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