Provider Demographics
NPI:1326426818
Name:SYNAPTRX SLEEP PLLC
Entity Type:Organization
Organization Name:SYNAPTRX SLEEP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAGDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:BIJWADIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-888-7800
Mailing Address - Street 1:PO BOX 16263
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4057
Mailing Address - Country:US
Mailing Address - Phone:612-819-0597
Mailing Address - Fax:651-493-4221
Practice Address - Street 1:1385 PHALEN BLVD
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-2126
Practice Address - Country:US
Practice Address - Phone:612-819-0597
Practice Address - Fax:651-493-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty