| Calcasieu Lung And Sleep Llc | |
|
1327 Stelly Ln Ste 2 Sulphur LA 70663-5650 | |
| (626) 376-2438 | |
| Not Available |
| Full Name | Calcasieu Lung And Sleep Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1327 Stelly Ln Ste 2, Sulphur, Louisiana |
| Authorized Official Name and Position | Kiran Challagolla (OFFICE MANAGER) |
| Authorized Official Contact | 6263762438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calcasieu Lung And Sleep Llc 1327 Stelly Ln Ste 2 Sulphur LA 70663-5650 Ph: (626) 376-2438 | Calcasieu Lung And Sleep Llc 1327 Stelly Ln Ste 2 Sulphur LA 70663-5650 Ph: (626) 376-2438 |
| NPI Number | 1730667973 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 01/21/2019 |
| Medicare PECOS PAC ID | 1355690215 |
|---|---|
| Medicare Enrollment ID | O20180827000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730667973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Ravali Tarigopula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285802892 PECOS PAC ID: 0547427346 Enrollment ID: I20180827000633 |
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