Provider Demographics
NPI:1679652838
Name:COLUMBIA LUNG AND SLEEP INSTITUTE
Entity Type:Organization
Organization Name:COLUMBIA LUNG AND SLEEP INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-719-5028
Mailing Address - Street 1:3231 SUNSET BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3483
Mailing Address - Country:US
Mailing Address - Phone:803-719-5028
Mailing Address - Fax:803-454-2370
Practice Address - Street 1:3231 SUNSET BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3483
Practice Address - Country:US
Practice Address - Phone:803-719-5028
Practice Address - Fax:803-454-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27710207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1679652838OtherBCBS
SC277104Medicaid
SC277104Medicaid
SC1679652838OtherBCBS