Healthcare Provider Details

I. General information

NPI: 1225394976
Provider Name (Legal Business Name): COMPREHENSIVE SLEEP CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 MCFARLAND BLVD N SUITE C
TUSCALOOSA AL
35406-2293
US

IV. Provider business mailing address

1406 MCFARLAND BLVD N SUITE C
TUSCALOOSA AL
35406-2293
US

V. Phone/Fax

Practice location:
  • Phone: 205-343-0004
  • Fax: 205-343-0092
Mailing address:
  • Phone: 205-343-0004
  • Fax: 205-343-0092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NARAYAN KRISHNAMURTHY
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 205-343-0004