Provider Demographics
NPI:1225203938
Name:TANVEER AKBAR MD INC
Entity Type:Organization
Organization Name:TANVEER AKBAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TANVEER
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-921-6829
Mailing Address - Street 1:10620 SOUTHERN HIGHLANDS PKWY
Mailing Address - Street 2:SUITE 110-507
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-4371
Mailing Address - Country:US
Mailing Address - Phone:702-921-6829
Mailing Address - Fax:702-921-6828
Practice Address - Street 1:10620 SOUTHERN HIGHLANDS PKWY
Practice Address - Street 2:SUITE 110-507
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-4371
Practice Address - Country:US
Practice Address - Phone:702-921-6829
Practice Address - Fax:702-921-6828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10973207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100505269Medicaid
NV10973OtherMEDICAL LICENSE NUMBER
NV100505269Medicaid
NV10973OtherMEDICAL LICENSE NUMBER