| Doctor Name: | DR. KHAN MERAJ TANVEER |
| NPI Number: | 1780899062 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | WV22922 |
| Business Practice Address: | 40 Commerce Dr Suite 101 Westover, WV - 265013874 |
| Business Phone Number: | 3042927535 |
| Business Fax Number: | |
| Mailing Address: | 2822 Suncrest Vlg, MORGANTOWN |
| State: | WV |
| Postal Code: | 265053867 |
| Phone Number: | 3045998299 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | WV22922 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |