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Tanvir Fayaz Kabir

Internal Medicine

Allopathic & Osteopathic Physicians

530 S Jackson St, Louisville, KY 40202-1675

PECOS Enrollment

This provider is enrolled in PECOS as TANVIR KABIR.

Based on the most recent information from CMS, provider Tanvir Fayaz Kabir is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1881250942
Provider Type
Individual
Full Name
Kabir, Tanvir Fayaz
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/14/2019
Last Updated
8/3/2022

Contact Information

Practice Location

530 S Jackson St, Louisville, KY 40202-1675

(502) 852-7041

Unlisted Fax

Mailing Location

PO Box 909, Louisville, KY 40201-0909

(502) 852-7041

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 57050 Kentucky
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 7100712960	Description Medicaid	Issuer Unlisted Kentucky

Tanvir Fayaz Kabir

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rivera Matos, Lucia

Britt, David Brian

University Of Louisville Research Foundation

Rainey, Sabrina Constance

Hamilton, Anna Gabrielle

Gabbard, Julian Glenn

Bricknell, Ryan Aziz Thomas

Hasan, Rafi A

Prebeck, Josh

Williams, Patrick Murray