MEDICARE: LUNG CONSULTANTS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician
2	207RP1001X	Pulmonary Disease Physician	MD36290	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	290015263	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	156843777	OTHER		CAPMUS/TRICARE
3	5347585	OTHER	TN	AETNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174581144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNG CONSULTANTS PLLC

Provider Business Mailing Address
First Line	:	5543 EDMONDSON PIKE # 44
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-5808
Country	:	US
Telephone Number	:	615-321-7255
Fax Number	:	615-321-7259

Provider Business Practice Location Address
First Line	:	2900 FELICIA ST STE 102
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4043
Country	:	US
Telephone Number	:	615-321-7255
Fax Number	:	615-321-7259

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	OLUSOLA OLANREWAJU OGUNTOLU
Credential	:	MD
Telephone Number	:	615-321-7255

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	04/17/2026

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Directions to “LUNG CONSULTANTS PLLC ” Practice Location

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