Healthcare Provider Details
I. General information
NPI: 1245054071
Provider Name (Legal Business Name): VIRTUAL SLEEP SOLUTION BY DR. OOMMAN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2024
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1003 CANDYTUFT CT
FRANKLIN TN
37067-8607
US
IV. Provider business mailing address
1003 CANDYTUFT CT
FRANKLIN TN
37067-8607
US
V. Phone/Fax
- Phone: 501-650-4229
- Fax:
- Phone: 501-650-4229
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SOWMINI
OOMMAN
Title or Position: OWNER/PROVIDER
Credential: MD
Phone: 501-650-4226