Provider Demographics
NPI:1326887571
Name:MID-ATLANTIC PULMONARY AND SLEEP MEDICINE, LLC
Entity type:Organization
Organization Name:MID-ATLANTIC PULMONARY AND SLEEP MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-689-9245
Mailing Address - Street 1:11155 RED RUN BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-9500
Mailing Address - Country:US
Mailing Address - Phone:410-689-9245
Mailing Address - Fax:
Practice Address - Street 1:11155 RED RUN BLVD STE 210
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-9500
Practice Address - Country:US
Practice Address - Phone:410-689-9245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty