Provider Demographics
NPI:1497148704
Name:SLEEP DOCTORS OF MEMPHIS
Entity Type:Organization
Organization Name:SLEEP DOCTORS OF MEMPHIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMADO
Authorized Official - Middle Name:X
Authorized Official - Last Name:FREIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-753-8361
Mailing Address - Street 1:PO BOX 38272
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-0272
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8000 CENTERVIEW PKWY
Practice Address - Street 2:SUITE 115
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-4227
Practice Address - Country:US
Practice Address - Phone:901-752-0662
Practice Address - Fax:901-756-8541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31816207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty