Provider Demographics
NPI:1083965305
Name:AMERICAN SLEEP ASSOCIATES, INC
Entity Type:Organization
Organization Name:AMERICAN SLEEP ASSOCIATES, INC
Other - Org Name:INTERNATIONAL CENTER OF SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PARVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-720-7605
Mailing Address - Street 1:PO BOX 2706
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39130-2706
Mailing Address - Country:US
Mailing Address - Phone:601-720-7605
Mailing Address - Fax:866-495-3240
Practice Address - Street 1:601 RENAISSANCE WAY
Practice Address - Street 2:STE. B
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-6038
Practice Address - Country:US
Practice Address - Phone:601-605-9914
Practice Address - Fax:601-605-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302G701831Medicare Oscar/Certification