Individual provider Active NPI

Tanvir Kahlon, DO

  • Student in an Organized Health Care Education/Training Program
  • Bangor, ME
National Provider Identifier
1619541950
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
895 Union St Ste 12
Bangor, ME 04401-3054
Phone
(207) 973-7979
Fax
(207) 947-9579
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

895 Union St Ste 12
Bangor, ME 04401-3054

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-5035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407000991 CA Practitioner - Family Practice 9436552411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, 91 clinicians

Practice addresses (Care Compare)

12586 Ave
Suite 408
Orosi, CA 93647
Phone (559) 585-2804

1850 Whitson St
Selma, CA 93662-3609
Phone (877) 960-3426

201 E Lakeview Ave
Woodlake, CA 93286-1301
Phone (559) 564-0100

30924 E Kings Canyon Rd
Squaw Valley, CA 93675-9601
Phone (877) 960-3426

3837 N Clark St
Fresno, CA 93726-4806
Phone (877) 960-3426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22860CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Jan 26, 2025 Accepting new patients
Family Healthcare Network CurrentSince Jan 26, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Eastern Maine Medical Center CurrentSince May 25, 2021 Accepting new patients
Eastern Maine Medical Center PastSince May 25, 2021 Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

3425 N 1st St
Fresno, CA 93726
Phone (559) 608-6581

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

895 Union St
Ste 12
Bangor, ME 04401
Phone (207) 973-7973

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1619541950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WHITING HILL RD STE 300",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121006",
            "telephone_number": "207-973-5035",
            "fax_number": "207-973-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 UNION ST STE 12",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013054",
            "telephone_number": "207-973-7979",
            "fax_number": "207-947-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHLON",
        "first_name": "TANVIR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.