Organization
MARYVILLE PULMONARY & SLEEP MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JABER M. MONLA-HASSAN M.D. (OWNER)
(865) 980-5100
Entity
Organization
Contact information
Practice address
5401 OLD YORK ROAD, KLEIN-SUITE 300, PHILADELPHIA, PA 19141-3030
(215) 456-6950
(215) 456-1766
Mailing address
PO BOX 5659, MARYVILLE, TN 37802-5659
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
38341
TN
207RP1001X
Pulmonary Disease Physician
Primary
MD433403
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
38341
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520768
—
TN
Enumeration date
09/29/2010
Last updated
07/21/2022
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