Provider Demographics
NPI:1598804627
Name:PULMONARY CRITICAL CARE & SLEEP MEDICINE ASSOC PC
Entity Type:Organization
Organization Name:PULMONARY CRITICAL CARE & SLEEP MEDICINE ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:YUSUF
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-295-9131
Mailing Address - Street 1:423 N PENNSYLVANIA AVENUE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6622
Mailing Address - Country:US
Mailing Address - Phone:215-295-9131
Mailing Address - Fax:215-736-8535
Practice Address - Street 1:423 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-6622
Practice Address - Country:US
Practice Address - Phone:215-295-9131
Practice Address - Fax:215-736-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ070596Medicare PIN