Provider Demographics
NPI:1083350649
Name:ATLAS INTENSIVE CARE
Entity Type:Organization
Organization Name:ATLAS INTENSIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-582-8527
Mailing Address - Street 1:7060 CYPRESS POINT CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95139-1517
Mailing Address - Country:US
Mailing Address - Phone:213-582-8527
Mailing Address - Fax:740-472-8527
Practice Address - Street 1:7060 CYPRESS POINT CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95139-1517
Practice Address - Country:US
Practice Address - Phone:213-582-8527
Practice Address - Fax:740-472-8527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty