Provider Demographics
NPI:1568523587
Name:MARTINSVILLE PULMONOLOGY. P.C.
Entity Type:Organization
Organization Name:MARTINSVILLE PULMONOLOGY. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BABAR
Authorized Official - Middle Name:NAVID
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:276-666-8900
Mailing Address - Street 1:319 HOSPITAL DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-1929
Mailing Address - Country:US
Mailing Address - Phone:276-666-8900
Mailing Address - Fax:
Practice Address - Street 1:319 HOSPITAL DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1929
Practice Address - Country:US
Practice Address - Phone:276-666-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G64839Medicare UPIN
C09332Medicare ID - Type Unspecified