Provider Demographics
NPI:1609900687
Name:RENAL SLEEP MEDICINE INC
Entity Type:Organization
Organization Name:RENAL SLEEP MEDICINE INC
Other - Org Name:WINDSOR MEDICAL CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDASAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-443-3900
Mailing Address - Street 1:295 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:BOX 11-357
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550
Mailing Address - Country:US
Mailing Address - Phone:609-443-3900
Mailing Address - Fax:609-443-4800
Practice Address - Street 1:339 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08512-2901
Practice Address - Country:US
Practice Address - Phone:609-443-3900
Practice Address - Fax:609-443-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
60013021OtherHORIZON NJ HEALTH
DA9256OtherMEDICARE RAILROAD
NJ0003107Medicaid