DR. TANVIR MAHTAB (NPI# 1528234473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528234473 |
| Entity Type | Individual |
| Full Name | DR. TANVIR MAHTAB |
| Credential | MD |
| Practice Address |
3310 Magnolia St Orangeburg SC 29115-1466 |
| Practice Telephone | 8035316900 |
| Practice Fax Number | 8035316907 |
| Mailing Telephone | 8035316900 |
| Mailing Fax Number | 8035316907 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 28238 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC LICENSE | 28238 | 01 |
| Street Address |
3310 MAGNOLIA ST |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-1466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316911225 | Penelope Jean Bowman | Advanced Practice Midwife | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2006-02-15 |
| 1992328157 | Angelia R Simpson | Registered Nurse | 3310 Magnolia St, Orangeburg, SC 29115-1468 | 2020-05-22 |
| 1255988697 | Lauren Marie Svensen | Nurse Practitioner | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-08-21 |
| 1790331114 | Brittany Kohn | Nurse Practitioner | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-08-12 |
| 1457917775 | Asha Charmaine Givens | Social Worker | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-05-13 |
| 1225591241 | David Kenneth Marple | Dentist | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2019-04-08 |
| 1215423975 | Kayla Sanders | Nurse Practitioner | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2018-07-06 |
| 1104312214 | Melanie Kittrell | Midwife | 3310 Magnolia St, Orangeburg, SC 29115 | 2018-07-02 |
| 1518473420 | Sherry Jones | Advanced Practice Midwife | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2017-12-15 |
| 1235643248 | Breanna J Linder | Social Worker | 3310 Magnolia St, Orangeburg, SC 29115-1466 | 2017-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1720413917 | Rukudzo Darlington Mazaiwana | General Practice | 3310 Magnolia St, Orangeburg, SC 29115 | 2013-09-06 |
| 1356403174 | R Dale Padgett Md Pa New Corp | General Practice | 1727 Village Park Dr, Orangeburg, SC 29118-2475 | 2006-12-15 |
| 1437226768 | Lourdes C. Mandac | General Practice | 140 Old Orangeburg Rd, Rockland Psychiatric Center, Orangeburg, NY 10962-1157 | 2006-11-30 |
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| 1255945754 | Escobedo Advanced Healthcare Solutions LLC | General Practice | 121 Sparkleberry Crossing Rd Ste 200, Columbia, SC 29229-8639 | 2020-09-02 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1861937377 | Doctors Care Sc, Pa | General Practice | 8384 Charlotte Highway, Indian Land, SC 29707-6532 | 2016-12-20 |
| 1790138014 | Beaufort-jasper-hampton Comprehensive Health Services Inc. | General Practice | 2210-b Mossy Oaks Rd., Port Royal, SC 29935-1046 | 2016-07-21 |
| 1659726438 | Inspire Medical Services | General Practice | 104 Berkeley Square Ln, Ste 63, Goose Creek, SC 29445-2958 | 2016-04-28 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| 1952774838 | Allied Healthcare LLC | General Practice | 707 S Parker Dr, Florence, SC 29501-6062 | 2015-11-02 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.