person
Dr. Tanvir Mahtab, MD
General Practice Physician in Orangeburg, South Carolina
NPI 1528234473

Tanvir Mahtab is a General Practice Physician based in Orangeburg, SC. Tanvir Mahtab practices in Orangeburg, SC and has the professional credentials of MD. The NPI Number for Tanvir Mahtab is 1528234473 and holds a License No. 28238 (South Carolina).

The current practice location address for Tanvir Mahtab is 3310 Magnolia St, Orangeburg, SC and can be reached out via phone at 803-531-6900 and via fax at 803-531-6907.

Location: 3310 Magnolia St, Orangeburg, SC, 29115-1466
person
Provider Profile Details
NPI Number
1528234473
Provider Name
Tanvir Mahtab
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3310 Magnolia St, Orangeburg, SC, 29115-1466
Phone Number
803-531-6900
Fax Number
803-531-6907
Provider Enumeration Date
05/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28238 01 SC SC LICENSE
institution
Provider Business Practice Location Address Details
Address
3310 Magnolia St
City
State
Zip
29115-1466
Phone Number
803-531-6900
Fax Number
803-531-6907
person
Provider Business Mailing Address Details
Address
3310 Magnolia St
City
State
Zip
29115-1466
Phone Number
803-531-6900
Fax Number
803-531-6907
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
28238 (South Carolina)
Definition
Definition to come...
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