Provider Demographics
NPI:1114193851
Name:PULMONARY AND SLEEP ASSOCIATES OF CAROLINAS LLC
Entity Type:Organization
Organization Name:PULMONARY AND SLEEP ASSOCIATES OF CAROLINAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PULMONARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MATEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-283-3775
Mailing Address - Street 1:834 W MEETING ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-6251
Mailing Address - Country:US
Mailing Address - Phone:803-283-3775
Mailing Address - Fax:803-285-1538
Practice Address - Street 1:834 W MEETING ST
Practice Address - Street 2:SUITE E
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6251
Practice Address - Country:US
Practice Address - Phone:803-283-3775
Practice Address - Fax:803-285-1538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL30671207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty