EAST KY PULMONARY & SLEEP DISORDER CTR. NPI 1013063106

NPI Information

NPI: 1013063106
Provider Name: EAST KY PULMONARY & SLEEP DISORDER CTR.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 18D0858674

Address:
9350 US HWY 23 SOUTH
SUITE 104
STANVILLE, KY
ZIP 41659
Phone: (606) 478-1005
Get Directions

EAST KY PULMONARY & SLEEP DISORDER CTR. is a pulmonary disease internal medicine in Stanville, KY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. EAST KY PULMONARY & SLEEP DISORDER CTR. NPI is 1013063106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9350 US HWY 23 SOUTH
SUITE 104
STANVILLE, KY
ZIP 41659
Phone: (606) 478-1005
Fax: (606) 478-8687

The provider's authorized official is Srinivas Ammisetty .
The authorized official title is President and has the following contact phone number (606) 478-1005.

The CLIA number assigned to this NPI record is 18D0858674 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		35594	KENTUCKY	No
2	207RS0012X	Internal Medicine	Sleep Medicine	35594	KENTUCKY	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	35594	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9751	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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