Organization
AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA
Active
Organization
AMERICAN LUNG AND SLEEP DISORDERS CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH AGRAWAL MD (OWNER)
(727) 528-4900
Entity
Organization
Contact information
Practice address
6223 66TH STREET NORTH, PINELLAS PARK, FL 33781-5025
(727) 528-4900
(727) 528-8628
Mailing address
6223 66TH STREET NORTH, PINELLAS PARK, FL 33781-5025
(727) 528-4900
(727) 528-8628
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME68290
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME68290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110200401
MEDICARE RAILROAD INDIVIDUAL
FL
05
—
261164300
—
FL
01
—
6000
AVMED GRP#
—
01
—
CH2504
MEDICARE RAILROAD GROUP
FL
Enumeration date
08/13/2006
Last updated
09/08/2010
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