Organization Name: | MOHAVE PULMONARY AND SLEEP DISORDER CLINIC, INC |
NPI Number: | 1295880722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAQBOOL AHMED (OWNER) |
Mailing Address: | 2771 Silver Creek Rd Suite 105 Bullhead City |
State: | AZ US |
Postal Code: | 864427959 |
Phone Number: | 9287582002 |
Fax Number: | 9287581884 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |