Healthcare Provider Details

I. General information

NPI: 1356252746
Provider Name (Legal Business Name): PRIMESLEEP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 E 19TH ST
EDMOND OK
73013-6618
US

IV. Provider business mailing address

1501 E 19TH ST STE A
EDMOND OK
73013-6618
US

V. Phone/Fax

Practice location:
  • Phone: 405-471-6511
  • Fax: 405-471-6522
Mailing address:
  • Phone: 405-471-6511
  • Fax: 405-471-6522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MUHAMMAD SANAULLAH
Title or Position: OWNER
Credential: MD
Phone: 405-888-9949