Provider Demographics
NPI:1639493026
Name:ALLERGY & ASTHMA ASSOCIATES PA
Entity type:Organization
Organization Name:ALLERGY & ASTHMA ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARBJEET
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:828-327-0600
Mailing Address - Street 1:912 2ND ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3851
Mailing Address - Country:US
Mailing Address - Phone:828-327-0600
Mailing Address - Fax:828-327-3223
Practice Address - Street 1:912 2ND ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3851
Practice Address - Country:US
Practice Address - Phone:828-327-0600
Practice Address - Fax:828-327-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31657207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8979096Medicaid
NC79096OtherBLUE CROSS
NC79096OtherBLUE CROSS