Provider Demographics
NPI:1629408315
Name:PULMONARY & CRITICAL CARE ONE PC
Entity Type:Organization
Organization Name:PULMONARY & CRITICAL CARE ONE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHMUD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMLUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-341-1431
Mailing Address - Street 1:4160 JOHN R ST STE 1011
Mailing Address - Street 2:HARPER PROFESSIONAL BUILDING
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-2017
Mailing Address - Country:US
Mailing Address - Phone:313-341-1431
Mailing Address - Fax:
Practice Address - Street 1:4160 JOHN R ST STE 1011
Practice Address - Street 2:HARPER PROFESSIONAL BUILDING
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2017
Practice Address - Country:US
Practice Address - Phone:313-341-1431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301085573207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty