Provider Demographics
NPI:1811076045
Name:METROPLEX PULMONARY AND SLEEP CENTER, P.A.
Entity type:Organization
Organization Name:METROPLEX PULMONARY AND SLEEP CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHRUKH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUREISHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-838-1892
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-1273
Mailing Address - Country:US
Mailing Address - Phone:972-991-9950
Mailing Address - Fax:
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 2360
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6103
Practice Address - Country:US
Practice Address - Phone:972-838-1892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0059KVOtherBLUE CROSS & BLUE SHIELD
TX163488301Medicaid
TXDC8659OtherRAILROAD MEDICARE
TXG03534Medicare UPIN
TXDC8659OtherRAILROAD MEDICARE
TX5411340001Medicare NSC