Organization
CALCASIEU LUNG AND SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRAN CHALLAGOLLA (OFFICE MANAGER)
(626) 376-2438
Entity
Organization
Contact information
Practice address
1327 STELLY LN STE 2, SULPHUR, LA 70663-5650
(626) 376-2438
Mailing address
1327 STELLY LN STE 2, SULPHUR, LA 70663-5650
(626) 376-2438
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
01/21/2019
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