PHOENIX RISING MEDICAL PC NPI 1649470790

NPI Information

PHOENIX RISING MEDICAL, PC is a pulmonary disease internal medicine in Tonawanda, NY. 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. PHOENIX RISING MEDICAL, PC NPI is 1649470790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2545 SHERIDAN DRIVE
TONAWANDA, NY
ZIP 14150-478
Phone: (716) 836-1388
Fax: (716) 836-1399

The provider's authorized official is Tajuddin M Jiva .
The authorized official title is Owner and has the following contact phone number (716) 688-0088.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 11/11/2009.

Taxonomy Codes

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