Healthcare Provider Details

I. General information

NPI: 1083016794
Provider Name (Legal Business Name): THE PULMONARY & SLEEP CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

689 MEDICAL PARK DR SUITE 203
LENOIR CITY TN
37772-5795
US

IV. Provider business mailing address

689 MEDICAL PARK DR SUITE 203
LENOIR CITY TN
37772-5795
US

V. Phone/Fax

Practice location:
  • Phone: 865-986-9151
  • Fax: 865-986-9153
Mailing address:
  • Phone: 865-986-9151
  • Fax: 865-986-9153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMD0000038206
License Number StateTN

VIII. Authorized Official

Name: DR. HASSAN FAOUD NADROUS
Title or Position: MD/OWNER
Credential: MD
Phone: 865-986-9151