Provider Demographics
NPI:1144262650
Name:ALLIANCE PULMONARY ASSOCIATES INC
Entity type:Organization
Organization Name:ALLIANCE PULMONARY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:BASIT
Authorized Official - Last Name:BASIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-596-6560
Mailing Address - Street 1:270 E STATE ST
Mailing Address - Street 2:SUITE #240
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601
Mailing Address - Country:US
Mailing Address - Phone:330-596-6560
Mailing Address - Fax:330-823-6449
Practice Address - Street 1:270 E STATE ST
Practice Address - Street 2:SUITE #240
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601
Practice Address - Country:US
Practice Address - Phone:330-596-6560
Practice Address - Fax:330-823-6449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35078091207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2209774Medicaid
OHG51069Medicare UPIN
OHAB4035981Medicare ID - Type Unspecified