# TRI STATE LUNG & SLEEP ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356371561
- **Authorized official:** GHULAM R AZIZ M.D. (PRESIDENT)
- **Authorized official phone:** (330) 382-9355

## Contact information

- **Practice address:** 16218 SAINT CLAIR AVE, EAST LIVERPOOL, OH 43920-9449
- **Practice address phone:** (330) 382-9355
- **Practice address fax:** (330) 382-9448
- **Mailing address:** 16218 SAINT CLAIR AVENUE, EAST LIVERPOOL, OH 43920-0076
- **Mailing address phone:** (330) 382-9355
- **Mailing address fax:** (330) 382-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | OH35-07-9747A | OH | — |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 04/03/2020