MEDICARE: AM SLEEP CENTERS INC.

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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	1286	MD

General Provider Information

NPI Number	:	1982859252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AM SLEEP CENTERS INC.

Provider Business Mailing Address
First Line	:	7915 LAKE MANASSAS DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3258
Country	:	US
Telephone Number	:	301-538-0814
Fax Number	:

Provider Business Practice Location Address
First Line	:	7915 LAKE MANASSAS DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3258
Country	:	US
Telephone Number	:	301-538-0814
Fax Number	:

Authorized Official
Title or Position	:	CO-DIRECTOR
Name	:	DR. YASH PAL MEHNDIRATTA
Credential	:	M.D.
Telephone Number	:	703-994-6655

Provider Enumeration Date	:	11/29/2008
Last Update Date	:	11/29/2008

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