# PLATEAU PULMONOLOGY LLC

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

## Provider details

- **NPI number:** 1942501762
- **Authorized official:** DR. GNANARAJ JOSEPH MD (SOLE OWNER)
- **Authorized official phone:** (931) 210-0274

## Contact information

- **Practice address:** 421 S MAIN ST, CROSSVILLE, TN 38555-5048
- **Practice address phone:** (931) 210-0274
- **Practice address fax:** (931) 787-1503
- **Mailing address:** 1263 E DEER CREEK DR, CROSSVILLE, TN 38571-3258
- **Mailing address phone:** (931) 210-0274
- **Mailing address fax:** (931) 787-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | MD38221 | TN | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD38221 | TN | — |

## Other

- **Enumeration date:** 11/10/2010
- **Last updated:** 11/10/2010