| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 10/24/2018 |
| Medicare PECOS PAC ID | 7315041472 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033290101 PECOS PAC ID: 7315982873 Enrollment ID: I20070329000112 |
| Provider Name | Hoa T Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912088089 PECOS PAC ID: 9830247220 Enrollment ID: I20090422000662 |
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