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NPI Code Detail

MEDICARE: PULMONARY AND SLEEP CLINIC, PLLC

MEDICARE: PULMONARY AND SLEEP CLINIC, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1790709327
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULMONARY AND SLEEP CLINIC, PLLC
Provider Business Mailing Address
First Line : 1739 CANTON ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-1991
Country : US
Telephone Number : 270-881-1813
Fax Number : 270-881-4730
Provider Business Practice Location Address
First Line : 1739 CANTON ST
Second Line :
City : HOPKINSVILLE
State : KY
Zip : 42240-1991
Country : US
Telephone Number : 270-881-1813
Fax Number : 270-881-4730
Authorized Official
Title or Position : OWNER
Name : SANJAY M CHAVDA
Credential : MD
Telephone Number : 270-881-1813
Provider Enumeration Date : 07/27/2006
Last Update Date : 08/22/2020

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Directions to “PULMONARY AND SLEEP CLINIC, PLLC ” Practice Location

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