Healthcare Provider Details

I. General information

NPI: 1902364979
Provider Name (Legal Business Name): PULMONARY ALLERGY CRITICAL CARE & SLEEP ASSOCIATES PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BARCLAY CIR STE 205
ROCHESTER HILLS MI
48307-5821
US

IV. Provider business mailing address

75 BARCLAY CIR STE 205
ROCHESTER HILLS MI
48307-5821
US

V. Phone/Fax

Practice location:
  • Phone: 248-651-6430
  • Fax: 248-650-1382
Mailing address:
  • Phone: 248-651-6430
  • Fax: 248-650-1382

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 Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. MUHAMMAD KASHLAN
Title or Position: OWNER
Credential: MD
Phone: 248-651-6430