Provider Demographics
NPI:1477766525
Name:CAMBRIDGE PULMONARY CLINIC INC
Entity Type:Organization
Organization Name:CAMBRIDGE PULMONARY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARID
Authorized Official - Middle Name:
Authorized Official - Last Name:GHEBLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-514-1717
Mailing Address - Street 1:13624 W CAMINO DEL SOL
Mailing Address - Street 2:100
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-3403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13657 W MCDOWELL RD
Practice Address - Street 2:204
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-2601
Practice Address - Country:US
Practice Address - Phone:623-214-1717
Practice Address - Fax:623-214-8496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty