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Muhammad Tasawar Latif

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as MUHAMMAD LATIF.

Based on the most recent information from CMS, provider Muhammad Tasawar Latif is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1417575192
Provider Type
Individual
Full Name
Latif, Muhammad Tasawar
Gender
Male

Sole Proprietor
Yes
Enumeration Date
7/9/2020
Last Updated
9/26/2023

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3220

(203) 217-3131

Unlisted Fax

Mailing Location

53 Sharon Rd Apt 10, Waterbury, CT 06705-4026

(203) 217-3131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 73662 Connecticut
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Muhammad Tasawar Latif

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kay, Shannon

Banini, Bubu

Moin, Tannaz

Ryu, Changwan

Cruz Solbes, Ana Sofia

Goheen, Morgan

Lu, Esther

Hewan, Henly Horace

Disesa, George Daniel

Sundararajan, Anusha