| Utah Infectious Disease PLLC | |
|
11429 S 3100 E Sandy UT 84092-4957 | |
| (520) 732-7226 | |
| Not Available |
| Full Name | Utah Infectious Disease PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 11429 S 3100 E, Sandy, Utah |
| Authorized Official Name and Position | Fawad Ali Tanvir (OWNER) |
| Authorized Official Contact | 5207327226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Infectious Disease PLLC 11429 S 3100 E Sandy UT 84092-4957 Ph: (520) 732-7226 | Utah Infectious Disease PLLC 11429 S 3100 E Sandy UT 84092-4957 Ph: (520) 732-7226 |
| NPI Number | 1366331357 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 08/12/2025 |
| Certification Date | 08/12/2025 |
| Medicare PECOS PAC ID | 6608378138 |
|---|---|
| Medicare Enrollment ID | O20250904004220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366331357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Fawad a Tanvir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164425294 PECOS PAC ID: 0042290900 Enrollment ID: I20130909000724 |
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