Provider Demographics
NPI:1144619370
Name:BHUPESH H DIHENIA, MD PA
Entity Type:Organization
Organization Name:BHUPESH H DIHENIA, MD PA
Other - Org Name:THE SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BHUPESH
Authorized Official - Middle Name:H
Authorized Official - Last Name:DIHENIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-722-3500
Mailing Address - Street 1:3815 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1809
Mailing Address - Country:US
Mailing Address - Phone:806-722-3500
Mailing Address - Fax:806-796-0689
Practice Address - Street 1:3815 23RD ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1809
Practice Address - Country:US
Practice Address - Phone:806-722-3500
Practice Address - Fax:806-796-0689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00167TMedicare PIN