Organization
LUNG & SLEEP SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHEEN NOORANI MD (OWNER/MEMBER)
(706) 277-4799
Entity
Organization
Contact information
Practice address
1210 BROADRICK DR, DALTON, GA 30720-2676
(706) 277-4799
(706) 277-5054
Mailing address
1210 BROADRICK DR, DALTON, GA 30720-2676
(706) 277-4799
(706) 277-5054
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042678
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000744906C
—
GA
01
—
29BDCBJ
MEDICARE PTAN
GA
Enumeration date
04/14/2014
Last updated
04/14/2014
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