Organization
RANDOLPH PULMONARY AND SLEEP CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANVIR CHODRI MD (OWNER)
(336) 633-4020
Entity
Organization
Contact information
Practice address
610 N FAYETTEVILLE ST, SUITE 300, ASHEBORO, NC 27203-4670
(336) 633-4020
(336) 633-4069
Mailing address
610 N FAYETTEVILLE ST, SUITE 300, ASHEBORO, NC 27203-4670
(336) 633-4020
(336) 633-4069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016NJ
BCBS
NC
01
—
4800358
UHC
—
Enumeration date
08/17/2009
Last updated
08/17/2009
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