Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryville Pulmonary & Sleep Medicine, LLC

Organization Pulmonary Disease Physician · NPI 1053620765

Maryville Pulmonary & Sleep Medicine, LLC is a Pulmonary Disease Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania and Tennessee.

Licensed in
PA, TN
In the registry since
2010
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5401 Old York Road Klein-Suite 300
Philadelphia, PA 19141-3030
Phone: (215) 456-6950
Fax: (215) 456-1766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 365 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 — (865) 980-5100

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD433403 (PA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 38341 (TN)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 38341 (TN)

Record details

NPI number1053620765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaber Monla-Hassan — Owner · (865) 980-5100
NPI enumeratedSeptember 29, 2010
Last updated in NPPESJuly 21, 2022
Mailing addressPo Box 5659, Maryville, TN 37802-5659

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