Basic Information
| Provider Information | |||||||||
| NPI: | 1558707018 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALLEY LUNG & SLEEP APC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1524 W LACEY BLVD STE 200 | ||||||||
| Address2: | |||||||||
| City: | HANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932305965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283179100 | ||||||||
| FaxNumber: | 9283179300 | ||||||||
| Practice Location | |||||||||
| Address1: | 1524 W LACEY BLVD STE 200 | ||||||||
| Address2: | |||||||||
| City: | HANFORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932305965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283179100 | ||||||||
| FaxNumber: | 9283179300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2013 | ||||||||
| LastUpdateDate: | 05/10/2013 | ||||||||
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| AuthorizedOfficialLastName: | RAJAMANI | ||||||||
| AuthorizedOfficialFirstName: | SRIDHAR | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9283179100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | C50351 | CA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RC0200X | C53701 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.