Healthcare Provider Details

I. General information

NPI: 1538159215
Provider Name (Legal Business Name): MIDWEST SLEEP LAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8121 NATIONAL AVE SUITE 208
MIDWEST CITY OK
73110-7530
US

IV. Provider business mailing address

PO BOX 26485
OKLAHOMA CITY OK
73126-0485
US

V. Phone/Fax

Practice location:
  • Phone: 405-455-5052
  • Fax: 405-455-4142
Mailing address:
  • Phone: 405-455-5052
  • Fax: 405-455-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASIM JAFAR CHOHAN
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 405-610-7057