Provider Demographics
NPI:1740846765
Name:TANWEER, MOHAMMAD SHAHRUKH (MD, MBBS)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:SHAHRUKH
Last Name:TANWEER
Suffix:
Gender:M
Credentials:MD, MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MERCY HEALTH-ST. VINCENT MEDICAL CENTER
Mailing Address - Street 2:2200 JEFFERSON AVENUE
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604
Mailing Address - Country:US
Mailing Address - Phone:419-251-1400
Mailing Address - Fax:419-251-4159
Practice Address - Street 1:MERCY HEALTH-ST. VINCENT MEDICAL CENTER
Practice Address - Street 2:2200 JEFFERSON AVENUE
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604
Practice Address - Country:US
Practice Address - Phone:419-251-1400
Practice Address - Fax:419-251-4159
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program