Healthcare Provider Details

I. General information

NPI: 1487560769
Provider Name (Legal Business Name): NIDRA SLEEP HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9216 S 73RD EAST AVE
TULSA OK
74133-6042
US

IV. Provider business mailing address

9216 S 73RD EAST AVE
TULSA OK
74133-6042
US

V. Phone/Fax

Practice location:
  • Phone: 214-206-6798
  • Fax: 214-206-6798
Mailing address:
  • Phone: 214-206-6798
  • Fax: 214-206-6798

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: KIRAN N GUPTA
Title or Position: OWNER
Credential:
Phone: 214-206-6798