NIGHT HAWK SLEEP SYSTEMS, INC.

Provider Demographics

• NPI: 1689992208
• Name: NIGHT HAWK SLEEP SYSTEMS, INC.
• Entity Type: Organization
• Organization Name: NIGHT HAWK SLEEP SYSTEMS, INC.
• Authorized Official - Title/Position: OFFICE MANAGER
• Authorized Official - First Name: KAREN
• Authorized Official - Last Name: KATOPODES
• Authorized Official - Phone: 586-416-2550
• Mailing Address - Street 1: 15760 19 MILE RD
• Mailing Address - Street 2: SUITE F
• Mailing Address - City: CLINTON TOWNSHIP
• Mailing Address - State: MI
• Mailing Address - Zip Code: 48038-6319
• Mailing Address - Country: US
• Mailing Address - Phone: 586-416-2550
• Mailing Address - Fax: 586-416-2580
• Practice Address - Street 1: 15760 19 MILE RD
• Practice Address - Street 2: SUITE F
• Practice Address - City: CLINTON TOWNSHIP
• Practice Address - State: MI
• Practice Address - Zip Code: 48038-6319
• Practice Address - Country: US
• Practice Address - Phone: 586-416-2550
• Practice Address - Fax: 586-416-2580
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2010-05-06
• Last Update Date: 2011-11-28

Provider Licenses

State	License ID	Taxonomies
MI		173F00000X, 207RC0200X, 207RP1001X, 293D00000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	173F00000X	Other Service Providers	Sleep Specialist, PhD		Group - Multi-Specialty
No	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine	Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	293D00000X	Laboratories	Physiological Laboratory		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MI	35-025106-1-1	Other	BCBS
MI	4301046328	Other	STATE LICENSE
MI	4301078992	Other	STATE LICENSE
MI	1508819350	Other	ASADULLA MOHAMMED NPI
MI	4153026	Medicaid
MI	4301072444	Other	ASADULLA MOHAMMED LICENSE NUMBER
MI	4505648	Medicaid
MI	4559845	Medicaid
MI	4872342	Medicaid
PA	1497752166	Other	NPI
MI	1891765426	Other	ZUREIKAT NPI
MI	1588664775	Other	ALI NPI
MI	0F37385	Other	ASADULLA MOHAMMED BCBS PIN
MI	1649270950	Other	SHAH NPI
MI	1107410151	Other	BCBS
MI	0N90610	Medicare PIN
MI	4301078992	Other	STATE LICENSE
MI	4153026	Medicaid
PA	050086EJ8	Medicare PIN