Pulmonary and Sleep Medicine, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0039691 Issued in MD

Legal business name

PULMONARY AND SLEEP MEDICINE, PA

Practice address

4467 Old Branch Ave
Suite 201
Temple Hills, MD 20748-1854

Phone

(301) 899-8900

Fax

(301) 899-2963

NPI assigned

Nov 5, 2007

Last updated

Jan 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bahram Redjaee, M.D.NPI 1073504700

Title

President

Phone

(301) 899-8900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bahram Redjaee, M.D.

  • Pulmonary Disease Physician
  • Temple Hills, MD
  • NPI 1073504700

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1457531758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE",
            "address_2": "SUITE 201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-899-8900",
            "fax_number": "301-899-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE",
            "address_2": "SUITE 201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-899-8900",
            "fax_number": "301-899-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "REDJAEE",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-899-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0039691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy J Powell, DPM
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• Angela M Proctor
• Andrea Karin Prosser, MD
• Protera Rehabilitation
• Quadri-Technology LTD
• Qualis Home Health Services
• Steven Reddick
• Redefined Health and Wellness LLC
• Redefined Health and Wellness LLC

• Specialist in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.