Provider Demographics
NPI:1538324181
Name:SLEEPHEART OF VIRGINIA
Entity Type:Organization
Organization Name:SLEEPHEART OF VIRGINIA
Other - Org Name:SLEEPHEART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-348-7857
Mailing Address - Street 1:10001 GEORGETOWN PIKE
Mailing Address - Street 2:#1048
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-1048
Mailing Address - Country:US
Mailing Address - Phone:703-348-7857
Mailing Address - Fax:
Practice Address - Street 1:10001 GEORGETOWN PIKE
Practice Address - Street 2:#1048
Practice Address - City:GREAT FALLS
Practice Address - State:VA
Practice Address - Zip Code:22066-1048
Practice Address - Country:US
Practice Address - Phone:703-348-7857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty