Provider Demographics
NPI:1205880747
Name:PULMONARY AND SLEEP CONSULTANTS
Entity type:Organization
Organization Name:PULMONARY AND SLEEP CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:RIZAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-271-2700
Mailing Address - Street 1:6709 S MINNESOTA AVENUE STE 205
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108
Mailing Address - Country:US
Mailing Address - Phone:605-271-2700
Mailing Address - Fax:605-271-2277
Practice Address - Street 1:6709 S MINNESOTA AVENUE STE 205
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-271-2700
Practice Address - Fax:605-271-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RA0201X, 261QM2500X, 207RP1001X
SD5028207RP1001X, 207RS0012X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE7720OtherRAILROAD MEDICARE
ND712432Medicare PIN
DE7720OtherRAILROAD MEDICARE
DE7720OtherRAILROAD MEDICARE