Provider Demographics
NPI:1538297361
Name:TANVIR AHMAD MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:TANVIR AHMAD MD A PROFESSIONAL CORPORATION
Other - Org Name:HEART AND VASCULAR THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TANVIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-366-9522
Mailing Address - Street 1:7020 SMOKE RANCH ROAD, SUITE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-366-9522
Mailing Address - Fax:702-341-5206
Practice Address - Street 1:7020 SMOKE RANCH ROAD, SUITE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128
Practice Address - Country:US
Practice Address - Phone:702-366-9522
Practice Address - Fax:702-341-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7447207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVF35163Medicare UPIN
NVV33341Medicare ID - Type Unspecified