Basic Information
| Provider Information | |||||||||
| NPI: | 1245225861 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MUIR PULMONARY CRITICAL CARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1399 YGNACIO VALLEY RD | ||||||||
| Address2: | STE 14 | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945982884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9259393050 | ||||||||
| FaxNumber: | 9259393057 | ||||||||
| Practice Location | |||||||||
| Address1: | 1399 YGNACIO VALLEY RD | ||||||||
| Address2: | STE 14 | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945982884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9259393050 | ||||||||
| FaxNumber: | 9259393057 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | KHASHAYAR | ||||||||
| AuthorizedOfficialFirstName: | RAMIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 9259393050 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 207RC0200X | X | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
No ID Information.