Provider Demographics
NPI:1548781990
Name:A PLUS PULMONARY CENTER PC
Entity Type:Organization
Organization Name:A PLUS PULMONARY CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AVTAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:BASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-977-8871
Mailing Address - Street 1:13352 N 83RD AVE STE A100
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4158
Mailing Address - Country:US
Mailing Address - Phone:623-977-8871
Mailing Address - Fax:623-977-4826
Practice Address - Street 1:13352 N 83RD AVE STE A100
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4158
Practice Address - Country:US
Practice Address - Phone:623-977-8871
Practice Address - Fax:623-977-4826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23833261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ351023Medicaid