Provider Demographics
NPI:1952457293
Name:PULMONARY CRITICAL CARE AND SLEEP DISORDERS OF TULARE PC
Entity Type:Organization
Organization Name:PULMONARY CRITICAL CARE AND SLEEP DISORDERS OF TULARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAQIB
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-684-8156
Mailing Address - Street 1:1255 N CHERRY ST
Mailing Address - Street 2:PMB603
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2233
Mailing Address - Country:US
Mailing Address - Phone:559-684-8156
Mailing Address - Fax:559-684-8198
Practice Address - Street 1:943 N GEM ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2127
Practice Address - Country:US
Practice Address - Phone:559-684-8156
Practice Address - Fax:559-684-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-27
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96384207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A963840Medicaid
CAA96384OtherMEDICAL LICENSE
ZZZ04694ZMedicare PIN
CAA96384OtherMEDICAL LICENSE