Healthcare Provider Details

I. General information

NPI: 1891384517
Provider Name (Legal Business Name): SLEEP DOC DIRECT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2021
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 TELLURIDE TRL
CHAPEL HILL NC
27514-1853
US

IV. Provider business mailing address

108 TELLURIDE TRL
CHAPEL HILL NC
27514-1853
US

V. Phone/Fax

Practice location:
  • Phone: 248-224-6523
  • Fax: 888-869-4847
Mailing address:
  • Phone: 919-951-7778
  • Fax: 888-869-4847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PRADEEP RAMACHANDRAN
Title or Position: DIRECTOR
Credential: MD
Phone: 919-951-7778