| NPI | 1053304774 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-28 |
| Last Updated | 2025-12-17 |
| Mailing Address | 2852 Tamiami Trl Ste 5 Port Charlotte, FL 33952-5100 United States Phone: (941) 625-9494 | Fax: (941) 743-8562 📍 View Map |
| Primary Practice Address | 2852 Tamiami Trl Ste 5 Port Charlotte, FL 33952-5100 United States Phone: (941) 625-9494 | Fax: (941) 743-8562 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 117689400 | — |
| MEDICAID | FL | 258993100 | — |
| Other (non-Medicare) | FL | 42648 | BCBS |
| Other (non-Medicare) | FL | 5236702 | AETNA |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | FL | ME0074367 |
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About NPI 1053304774
Tanweer A Memon M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053304774. The primary specialty listed is Internal Medicine. The provider is located in Port Charlotte, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053304774?
NPI 1053304774 belongs to Tanweer A Memon M.D., a Internal Medicine in Port Charlotte, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053304774 active?
The current status of NPI 1053304774 in the NPPES registry is Active. The record was last updated on 2025-12-17.
What specialty is NPI 1053304774?
NPI 1053304774 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053304774?
You can verify NPI 1053304774 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053304774?
The primary practice address on file for NPI 1053304774 is 2852 Tamiami Trl Ste 5, Port Charlotte, FL 33952-5100. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053304774 issued?
NPI 1053304774 was first issued (enumerated) on 2005-08-28. The NPPES record was last updated on 2025-12-17.
Practice Location Map
Tanweer A Memon is located at 2852 Tamiami Trl Ste 5, Port Charlotte, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tanweer A Memon. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053304774. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | ME0074367 | FL |