Provider Demographics
NPI:1841448198
Name:PULMONARY CRITICAL CARE AND SLEEP MEDICINE, LLC
Entity type:Organization
Organization Name:PULMONARY CRITICAL CARE AND SLEEP MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHIRAZ
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:DAUD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-692-2228
Mailing Address - Street 1:3009 NEW BALLAS ROAD
Mailing Address - Street 2:SUITE 256C
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2322
Mailing Address - Country:US
Mailing Address - Phone:314-692-2228
Mailing Address - Fax:314-692-2017
Practice Address - Street 1:3009 NEW BALLAS ROAD
Practice Address - Street 2:SUITE 256C
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2322
Practice Address - Country:US
Practice Address - Phone:314-692-2228
Practice Address - Fax:314-692-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005001736207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1354Medicare PIN
ILIL1334Medicare PIN