Healthcare Provider Details

I. General information

NPI: 1851228712
Provider Name (Legal Business Name): MIND SLEEP AND LONGEVITY INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10643 N FRANK LLOYD WRIGHT BLVD STE 202
SCOTTSDALE AZ
85259-2720
US

IV. Provider business mailing address

7511 COVINGTON HOLLOW LN
FORT WAYNE IN
46804-6152
US

V. Phone/Fax

Practice location:
  • Phone: 833-944-5877
  • Fax:
Mailing address:
  • Phone: 301-503-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAM VERMA
Title or Position: OWNER/CEO
Credential: MD
Phone: 301-503-7758