Healthcare Provider Details

I. General information

NPI: 1619192861
Provider Name (Legal Business Name): ADVANCED PULMONARY SLEEP DISORDERS & INTERNAL MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 E 700 S SUITE 105
ST GEORGE UT
84770-4023
US

IV. Provider business mailing address

640 E 700 S STE 105
ST GEORGE UT
84770-7094
US

V. Phone/Fax

Practice location:
  • Phone: 435-688-7770
  • Fax:
Mailing address:
  • Phone: 435-688-7770
  • Fax: 833-974-4528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number00014102
License Number StateUT

VIII. Authorized Official

Name: ZAHABIA TAHER GANDHI
Title or Position: VP/CO-OWNER
Credential:
Phone: 435-688-7770