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Individual

DR. KHAN MERAJ TANVEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
40 COMMERCE DR, SUITE 101, WESTOVER, WV 26501-3874
(304) 292-7535
Mailing address
670 KILLARNEY DR, MORGANTOWN, WV 26505-2428
(404) 668-6942

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV 22922
WV
208D00000X
General Practice Physician
WV22922
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001973506
MS BCBS
WV
05
3810010811
WV
Enumeration date
05/11/2007
Last updated
10/25/2018
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