Provider Demographics
NPI:1932594579
Name:ARIZONA LUNG CLINIC PLLC
Entity type:Organization
Organization Name:ARIZONA LUNG CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARAMVEER
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUGRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-242-9830
Mailing Address - Street 1:24295 N 86TH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1843
Mailing Address - Country:US
Mailing Address - Phone:623-242-9830
Mailing Address - Fax:623-243-6733
Practice Address - Street 1:14961 W BELL RD
Practice Address - Street 2:SUITE 175
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3200
Practice Address - Country:US
Practice Address - Phone:623-242-9830
Practice Address - Fax:623-243-6733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty