Provider Demographics
NPI:1356471080
Name:SLEEPMED HAMPTON ROADS LLC
Entity Type:Organization
Organization Name:SLEEPMED HAMPTON ROADS LLC
Other - Org Name:SLEEPMED HAMPTON ROADS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEMANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-686-8594
Mailing Address - Street 1:PO BOX 3808
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-3808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 MEDICAL PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:978-536-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
2165795OtherMAMSI
2165795OtherMDIPA
VA8597001OtherCARE FIRST
MD419630OtherCARE FIRST
VA8597002OtherCARE FIRST
VA1356471080Medicaid
2165795OtherONENET PPO
2165795OtherOPTIMUM CHOICE
MD85TZDIOtherCARE FIRST
VA552495OtherSOUTHERN HEALTH
VAP00600120OtherRAILROAD MEDICARE
VA304513OtherANTHEM BCBS
MD520537OtherCARE FIRST
VA1356471080Medicaid
MD419630OtherCARE FIRST