National Provider Identifier
Tanvir M Dara, MD
Tanvir M Dara, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Jamestown, NY and a listed phone number of (716) 489-3144.
Profile Overview
- NPI
- 1366409906
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 27, 2006
- Last Updated
- December 04, 2019
Practice Location
- 15 S Main St Ste 270
- Jamestown, NY 14701-6629
Phone: (716) 489-3144
Mailing Address
- 4475 West Village Parkway
- Ellenwood, GA 30294-2634
Specialties
- Internal Medicine Physician (207R00000X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1366409906
- Entity Type
- Individual
- Last Name
- Dara
- First Name
- Tanvir
- Middle Name
- M
- Credential
- MD
- Mailing Street Address
- 4475 West Village Parkway
- Mailing City
- Ellenwood
- Mailing State
- GA
- Mailing ZIP Code
- 30294-2634
- Mailing Country
- US
- Mailing Phone
- (561) 998-8889
- Practice Street Address
- 15 S Main St Ste 270
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6629
- Practice Country
- US
- Practice Phone
- (716) 489-3144
- Practice Fax
- (716) 489-3152
- Enumeration Date
- April 27, 2006
- Last Updated
- December 04, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 01613065 (NY)