Provider Demographics
NPI:1497049910
Name:PULMONARY CENTER OF LIMA, LLC
Entity Type:Organization
Organization Name:PULMONARY CENTER OF LIMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAT
Authorized Official - Middle Name:B
Authorized Official - Last Name:KUCHIPUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-227-7378
Mailing Address - Street 1:528 W MARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4762
Mailing Address - Country:US
Mailing Address - Phone:419-227-7378
Mailing Address - Fax:419-227-1370
Practice Address - Street 1:528 W MARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4762
Practice Address - Country:US
Practice Address - Phone:419-227-7378
Practice Address - Fax:419-227-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2021653207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty