Provider Demographics
NPI:1386271278
Name:AHMED, TANVIR (MD)
Entity type:Individual
Prefix:DR
First Name:TANVIR
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57845
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7845
Mailing Address - Country:US
Mailing Address - Phone:281-724-1862
Mailing Address - Fax:281-724-1859
Practice Address - Street 1:10905 MEMORIAL HERMANN DR STE 130
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-3773
Practice Address - Country:US
Practice Address - Phone:346-712-7020
Practice Address - Fax:346-207-0502
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT9622207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine