Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fahim Tazwar, MD

Individual provider Family Medicine Physician · NPI 1376952945

Fahim Tazwar, MD is a Family Practice in Buffalo, New York. Qualified in 2012, 14 years ago. Practices with Latina Medical Office PC, a 5-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 281193 (NY)

Record details

NPI number1376952945
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESOctober 9, 2015
Mailing address908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Latina Medical Office Pc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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