Healthcare Provider Details

I. General information

NPI: 1285056036
Provider Name (Legal Business Name): PULMONARY CRITICAL CARE & SLEEP MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18025 FORT ST
RIVERVIEW MI
48193-7432
US

IV. Provider business mailing address

18025 FORT ST
RIVERVIEW MI
48193-7432
US

V. Phone/Fax

Practice location:
  • Phone: 734-283-5555
  • Fax: 734-283-1600
Mailing address:
  • Phone: 734-283-5555
  • Fax: 734-283-1600

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 Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ASKER ASMI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 734-283-5555