Active NPI
Farah Tanveer, MD
- Infectious Disease Physician
- Plymouth, MI
National Provider Identifier
1811277957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 4301108931
- Practice address
- 15474 N Haggerty Rd
Plymouth, MI 48170 - Phone
- (734) 335-6103
- Fax
- (734) 404-5317
- NPI assigned
- Aug 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 4301108931 | MI | Primary |
Addresses
Primary practice location
15474 N Haggerty Rd
Plymouth, MI 48170
Mailing address
901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811277957 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301108931 | MI | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1811277957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 MCCLINTOCK DR STE 202",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605270872",
"telephone_number": "888-220-6432",
"fax_number": "630-654-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15474 N HAGGERTY RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "48170",
"telephone_number": "734-335-6103",
"fax_number": "734-404-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANVEER",
"first_name": "FARAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-21",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "MI",
"license": "4301108931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811277957",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.