Healthcare Provider Details

I. General information

NPI: 1306582945
Provider Name (Legal Business Name): PULMONARY & SLEEP SCIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 05/06/2022
Certification Date: 04/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 N LA CHOLLA BLVD
TUCSON AZ
85741-3599
US

IV. Provider business mailing address

5310 N LA CHOLLA BLVD
TUCSON AZ
85741-3599
US

V. Phone/Fax

Practice location:
  • Phone: 520-490-7171
  • Fax: 520-229-9107
Mailing address:
  • Phone: 520-490-7171
  • Fax: 520-229-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMITAB PURI
Title or Position: CEO
Credential: MD
Phone: 520-490-7171