Healthcare Provider Details

I. General information

NPI: 1891963732
Provider Name (Legal Business Name): SLEEP PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11652 STUDT AVE
SAINT LOUIS MO
63141-7025
US

IV. Provider business mailing address

1836 LACKLAND HILL PKWY
SAINT LOUIS MO
63146-3572
US

V. Phone/Fax

Practice location:
  • Phone: 314-266-7130
  • Fax:
Mailing address:
  • Phone: 314-872-1439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. VENKAT RAO-CHINTAPALLY
Title or Position: PHYSICIAN
Credential: MD
Phone: 314-266-7130