Healthcare Provider Details

I. General information

NPI: 1104362821
Provider Name (Legal Business Name): PULMONARY AND CRITICAL CARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2017
Last Update Date: 01/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8118 GOOD LUCK RD
LANHAM MD
20706-3574
US

IV. Provider business mailing address

PO BOX 1333
LORTON VA
22199-1333
US

V. Phone/Fax

Practice location:
  • Phone: 614-886-3728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: IZUCHUKWU A OBI
Title or Position: OWNER / PHYSICIAN
Credential: MD
Phone: 614-886-3728