Provider Demographics
NPI:1962034918
Name:BREATHE360 LLC
Entity Type:Organization
Organization Name:BREATHE360 LLC
Other - Org Name:BREATHE360 INTEGRATIVE MEDICINE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-499-4005
Mailing Address - Street 1:1400 PEOPLES PLZ STE 124
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5706
Mailing Address - Country:US
Mailing Address - Phone:443-499-4005
Mailing Address - Fax:833-992-2106
Practice Address - Street 1:1400 PEOPLES PLZ STE 124
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5706
Practice Address - Country:US
Practice Address - Phone:443-499-4005
Practice Address - Fax:833-992-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty