Provider Demographics
NPI:1467725226
Name:PINNACLE SLEEP & WAKE DISORDERS CENTER PLLC
Entity Type:Organization
Organization Name:PINNACLE SLEEP & WAKE DISORDERS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHETA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-737-1447
Mailing Address - Street 1:PO BOX 8051
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-0051
Mailing Address - Country:US
Mailing Address - Phone:509-469-1903
Mailing Address - Fax:509-469-1905
Practice Address - Street 1:1446 SPAULDING PARK
Practice Address - Street 2:STE. 301
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4707
Practice Address - Country:US
Practice Address - Phone:509-737-1447
Practice Address - Fax:509-737-1553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-09
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000383362084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2017307Medicaid
WA029870OtherWA DEPT. OF L&I
WA029870OtherWA DEPT. OF L&I