Provider Demographics
NPI:1265057855
Name:TN LUNG AND SLEEP CENTER LLC
Entity type:Organization
Organization Name:TN LUNG AND SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPANAGUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-510-4141
Mailing Address - Street 1:981 STONEBRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-6027
Mailing Address - Country:US
Mailing Address - Phone:931-510-4141
Mailing Address - Fax:
Practice Address - Street 1:221 N OAK AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2437
Practice Address - Country:US
Practice Address - Phone:931-646-0880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty