Healthcare Provider Details

I. General information

NPI: 1467725226
Provider Name (Legal Business Name): PINNACLE SLEEP & WAKE DISORDERS CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2012
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1446 SPAULDING PARK STE. 301
RICHLAND WA
99352-4707
US

IV. Provider business mailing address

PO BOX 8051
YAKIMA WA
98908-0051
US

V. Phone/Fax

Practice location:
  • Phone: 509-737-1447
  • Fax: 509-737-1553
Mailing address:
  • Phone: 509-469-1903
  • Fax: 509-469-1905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberMD00038336
License Number StateWA

VIII. Authorized Official

Name: CHETA NAND
Title or Position: OWNER
Credential: MD
Phone: 509-737-1447