Individual provider · NPI-1

Tanveer Gulzar

Home Health Aide · Maple Grove, MN

NPI number1306316005
StatusActive
Last updated in NPPESNov 26, 2018

Details

NPI
1306316005
Entity type
Individual (NPI-1)
Name
Tanveer Gulzar
Sex
Male
Sole proprietor
No
Enumeration date
Nov 26, 2018
Last updated
Nov 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

11662 99th Pl N
Maple Grove, MN 55369-3224

Phone 866-890-2310

Mailing address

1100 Winnetka Ave N
Golden Valley, MN 55427-4545

Phone 763-744-6280

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