Healthcare Provider Details
I. General information
NPI: 1275268443
Provider Name (Legal Business Name): QUALITY SLEEP SLEEP DISORDERS CENTER. LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2022
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
686 POOLE RD STE B
WESTMINSTER MD
21157-6177
US
IV. Provider business mailing address
686 POOLE RD STE B
WESTMINSTER MD
21157-6177
US
V. Phone/Fax
- Phone: 410-952-4395
- Fax: 410-866-3613
- Phone: 443-201-9070
- Fax: 443-201-9068
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AMIT
NARULA
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 410-848-3858