Branson Pulmonology And Sleep Llc | |
875 E State Highway 76 Suite A Branson MO 65616 | |
(417) 334-5864 | |
(417) 334-4978 |
Full Name | Branson Pulmonology And Sleep Llc |
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Speciality | Clinic/Center |
Location | 875 E State Highway 76, Branson, Missouri |
Authorized Official Name and Position | Habib G Munshi (PRESIDENT) |
Authorized Official Contact | 4173345864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Branson Pulmonology And Sleep Llc Po Box 219 Branson MO 65615 Ph: (417) 334-5864 | Branson Pulmonology And Sleep Llc 875 E State Highway 76 Suite A Branson MO 65616 Ph: (417) 334-5864 |
NPI Number | 1194806265 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 10/24/2018 |
Medicare PECOS PAC ID | 7315041472 |
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Medicare Enrollment ID | O20070329000121 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194806265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 116317 (Missouri) | Primary |
Provider Name | Habib G Munshi |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1033290101 PECOS PAC ID: 7315982873 Enrollment ID: I20070329000112 |
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