Healthcare Provider Details

I. General information

NPI: 1154892107
Provider Name (Legal Business Name): PROGRESSIVE NEUROLOGY AND SLEEP CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2018
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BAYLOR CT STE 100
CHESAPEAKE VA
23320-3690
US

IV. Provider business mailing address

501 BAYLOR CT STE 100
CHESAPEAKE VA
23320-3690
US

V. Phone/Fax

Practice location:
  • Phone: 757-991-0190
  • Fax: 757-991-0191
Mailing address:
  • Phone: 757-991-0190
  • Fax: 757-991-0191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SOHAM SHETH
Title or Position: OPERATING MANAGER
Credential: MD
Phone: 757-941-7843