Provider Demographics
NPI:1154506210
Name:SLEEP AND PULMOUNARY SPEACIALISTS PLLC
Entity type:Organization
Organization Name:SLEEP AND PULMOUNARY SPEACIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZEINAB
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-776-7348
Mailing Address - Street 1:P.O. BOX 2285
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38088
Mailing Address - Country:US
Mailing Address - Phone:865-776-7348
Mailing Address - Fax:844-308-5077
Practice Address - Street 1:REGIONAL ONE EXTENDED CARE LTAC
Practice Address - Street 2:890 MADISON AVE
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103
Practice Address - Country:US
Practice Address - Phone:901-515-3028
Practice Address - Fax:844-308-5077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I00208OtherUPIN NUMBER
TN100208Medicaid
I00208OtherUPIN NUMBER