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NPI Code Detail

MEDICARE: AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA

MEDICARE: AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA
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
1207RS0012XSleep Medicine (Internal Medicine) PhysicianME68290FL
2207RP1001XPulmonary Disease PhysicianME68290FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CH2504OTHERFLMEDICARE RAILROAD GROUP
4110200401OTHERFLMEDICARE RAILROAD INDIVIDUAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
36000OTHERAVMED GRP#
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467464990
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA
Provider Business Mailing Address
First Line : 6223 66TH STREET NORTH
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-5025
Country : US
Telephone Number : 727-528-4900
Fax Number : 727-528-8628
Provider Business Practice Location Address
First Line : 6223 66TH STREET NORTH
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-5025
Country : US
Telephone Number : 727-528-4900
Fax Number : 727-528-8628
Authorized Official
Title or Position : OWNER
Name : RAJESH AGRAWAL
Credential : MD
Telephone Number : 727-528-4900
Provider Enumeration Date : 08/13/2006
Last Update Date : 09/08/2010

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Directions to “AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA ” Practice Location

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