MEDICARE: ADVANCED SLEEP NEURODIAGNOSTICS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	4301062300	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134143654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SLEEP NEURODIAGNOSTICS, PC

Provider Business Mailing Address
First Line	:	24001 ORCHARD LAKE RD
Second Line	:	SUITE #140
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2555
Country	:	US
Telephone Number	:	248-442-3700
Fax Number	:	248-442-8860

Provider Business Practice Location Address
First Line	:	24001 ORCHARD LAKE RD
Second Line	:	SUITE #140
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-2555
Country	:	US
Telephone Number	:	248-442-3700
Fax Number	:	248-442-8860

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MOHAMMED I. ZAHOOR
Credential	:	MD
Telephone Number	:	248-442-3700

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/02/2008

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