MEDICARE: SLEEP MEDICINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician	AZ

General Provider Information

NPI Number	:	1801347463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP MEDICINE, LLC

Provider Business Mailing Address
First Line	:	4729 E SUNRISE DR
Second Line	:	# 184
City	:	TUCSON
State	:	AZ
Zip	:	85718-4534
Country	:	US
Telephone Number	:	520-290-6626
Fax Number	:	520-505-5676

Provider Business Practice Location Address
First Line	:	4729 E SUNRISE DR
Second Line	:	# 184
City	:	TUCSON
State	:	AZ
Zip	:	85718-4534
Country	:	US
Telephone Number	:	520-290-6626
Fax Number	:	520-505-5676

Authorized Official
Title or Position	:	OWNER
Name	:	JYOTSNA SAHNI
Credential	:	M.D.
Telephone Number	:	520-290-6626

Provider Enumeration Date	:	10/19/2016
Last Update Date	:	10/19/2016

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Directions to “SLEEP MEDICINE, LLC ” Practice Location

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