Healthcare Provider Details

I. General information

NPI: 1770469694
Provider Name (Legal Business Name): CENTRAL CAROLINA SLEEP CENTERS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N FAYETTEVILLE ST STE 302
ASHEBORO NC
27203-4671
US

IV. Provider business mailing address

610 N FAYETTEVILLE ST STE 302
ASHEBORO NC
27203-4671
US

V. Phone/Fax

Practice location:
  • Phone: 336-633-4020
  • Fax:
Mailing address:
  • Phone: 336-633-4020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. TANVIR CHODRI
Title or Position: OWNER
Credential: MD
Phone: 336-633-4020