Provider Demographics
NPI:1124200795
Name:YUMA SLEEP ASSOCIATES LLC
Entity Type:Organization
Organization Name:YUMA SLEEP ASSOCIATES LLC
Other - Org Name:YUMA SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MALLAPPA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEELAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-344-0810
Mailing Address - Street 1:2275 S ELKS LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6258
Mailing Address - Country:US
Mailing Address - Phone:928-783-0381
Mailing Address - Fax:928-783-2577
Practice Address - Street 1:2299 S ELKS LN
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6258
Practice Address - Country:US
Practice Address - Phone:928-783-0381
Practice Address - Fax:928-783-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32314207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00710988OtherRR MEDICARE
AZZ127121Medicare PIN