Provider Demographics
NPI:1609515683
Name:PULMONARY AND SLEEP INSTITUTE PLLC
Entity Type:Organization
Organization Name:PULMONARY AND SLEEP INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANTHAVEERAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-654-7400
Mailing Address - Street 1:PO BOX 4099
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-0099
Mailing Address - Country:US
Mailing Address - Phone:423-654-7400
Mailing Address - Fax:423-654-7401
Practice Address - Street 1:5109 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-3906
Practice Address - Country:US
Practice Address - Phone:423-654-7400
Practice Address - Fax:423-654-7401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Single Specialty