Basic Information
| Provider Information | |||||||||
| NPI: | 1710304217 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PULMONARY CRITICAL CARE AND SLEEP MEDICINE CONSULTANTS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 355 WESTFIELD RD | ||||||||
| Address2: | SUITE 114 | ||||||||
| City: | NOBLESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460601443 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177702937 | ||||||||
| FaxNumber: | 3177702938 | ||||||||
| Practice Location | |||||||||
| Address1: | 355 WESTFIELD RD | ||||||||
| Address2: | SUITE 114 | ||||||||
| City: | NOBLESVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460601443 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3177702937 | ||||||||
| FaxNumber: | 3177702938 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/21/2014 | ||||||||
| LastUpdateDate: | 03/21/2014 | ||||||||
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| AuthorizedOfficialLastName: | SALTAGI | ||||||||
| AuthorizedOfficialFirstName: | AHMAD | ||||||||
| AuthorizedOfficialMiddleName: | RAMI | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 3177702937 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | 01054138A | IN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.