Provider Demographics
NPI:1366790594
Name:LUNG AND SLEEP WELLNESS CENTER PC
Entity type:Organization
Organization Name:LUNG AND SLEEP WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:JAVAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-593-8384
Mailing Address - Street 1:771 PARK CENTRE DR STE C
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-3777
Mailing Address - Country:US
Mailing Address - Phone:336-497-5232
Mailing Address - Fax:
Practice Address - Street 1:771 PARK CENTRE DR STE C
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3777
Practice Address - Country:US
Practice Address - Phone:336-497-5232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty