Provider Demographics
NPI:1356647994
Name:WASHINGTON SLEEP DISORDER CENTER, LLC
Entity Type:Organization
Organization Name:WASHINGTON SLEEP DISORDER CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRJAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:NIKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-260-7600
Mailing Address - Street 1:8804 POTOMAC STATION LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3983
Mailing Address - Country:US
Mailing Address - Phone:301-260-7600
Mailing Address - Fax:240-395-0793
Practice Address - Street 1:4910 MOORLAND LN
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6208
Practice Address - Country:US
Practice Address - Phone:301-260-7600
Practice Address - Fax:240-395-0793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-30
Last Update Date:2011-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01191Medicare UPIN