Healthcare Provider Details

I. General information

NPI: 1356511554
Provider Name (Legal Business Name): COMMONWEALTH SLEEP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 HERITAGE VILLAGE PLZ STE 120
GAINESVILLE VA
20155-3094
US

IV. Provider business mailing address

7001 HERITAGE VILLAGE PLZ STE 120
GAINESVILLE VA
20155-3094
US

V. Phone/Fax

Practice location:
  • Phone: 571-261-9877
  • Fax: 571-248-0583
Mailing address:
  • Phone: 571-261-9877
  • Fax: 571-248-0583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANJEEV KOHLI
Title or Position: PRESIDENT
Credential: MD
Phone: 703-307-4134