Healthcare Provider Details
I. General information
NPI: 1538205315
Provider Name (Legal Business Name): NASHVILLE SLEEP MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/29/2007
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1909 MALLORY LN STE 308
FRANKLIN TN
37067
US
IV. Provider business mailing address
1909 MALLORY LN STE 308
FRANKLIN TN
37067-2843
US
V. Phone/Fax
- Phone: 615-203-8999
- Fax:
- Phone: 615-203-8999
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | NOT REQUIRED |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
DIVYA
SALHAN
Title or Position: MD
Credential: MD
Phone: 347-659-9733