# LUNG & SLEEP SPECIALIST, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639598089
- **Authorized official:** DR. SHAHEEN NOORANI MD (OWNER/MEMBER)
- **Authorized official phone:** (706) 277-4799

## Contact information

- **Practice address:** 1210 BROADRICK DR, DALTON, GA 30720-2676
- **Practice address phone:** (706) 277-4799
- **Practice address fax:** (706) 277-5054
- **Mailing address:** 1210 BROADRICK DR, DALTON, GA 30720-2676
- **Mailing address phone:** (706) 277-4799
- **Mailing address fax:** (706) 277-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 042678 | GA | Yes |

## Other

- **Enumeration date:** 04/14/2014
- **Last updated:** 04/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000744906C | — | GA |
| 01 | — | 29BDCBJ | MEDICARE PTAN | GA |