Individual
TANVIR FAYAZ KABIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-7041
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-7041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57050
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100712960
—
KY
Enumeration date
05/14/2019
Last updated
08/03/2022
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