Organization
UNITED PULMONARY & SLEEP MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJEESH PUNNAKKATTU MD (DIRECTOR)
(520) 836-1161
Entity
Organization
Contact information
Practice address
1828 E FLORENCE BLVD, SUITE 112, CASA GRANDE, AZ 85222-4783
(520) 374-8915
Mailing address
1686 E DIEGO DR, CASA GRANDE, AZ 85222-6340
(520) 836-1161
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31787
AZ
207RP1001X
Pulmonary Disease Physician
Primary
31787
AZ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
31787
AZ
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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