Provider Demographics
NPI:1215235155
Name:NORTHWEST PULMONARY CRITICAL CARE AND SLEEP SPECIALISTS INC
Entity type:Organization
Organization Name:NORTHWEST PULMONARY CRITICAL CARE AND SLEEP SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RETHNAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-657-5131
Mailing Address - Street 1:1800 W 26TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1452
Mailing Address - Country:US
Mailing Address - Phone:281-652-5864
Mailing Address - Fax:832-529-6463
Practice Address - Street 1:1800 W 26TH ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1452
Practice Address - Country:US
Practice Address - Phone:281-652-5864
Practice Address - Fax:832-529-6463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN 4033207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN 4033OtherTEXAS MEDICAL BOARD