Organization
ADVANCED PULMONARY AND SLEEP ASSOCIATES OF FREDERICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUDUSAR IKRAM RAZA MD (PRESIDENT)
(240) 405-7347
Entity
Organization
Contact information
Practice address
801 TOLL HOUSE AVE STE D2, FREDERICK, MD 21701-6112
(240) 405-7347
Mailing address
9114 HENDRY TER, FREDERICK, MD 21704-7814
(240) 405-7347
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/26/2009
Last updated
09/01/2009
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