Provider Demographics
NPI:1760512412
Name:SLEEPMED HAMPTON ROADS LLC
Entity Type:Organization
Organization Name:SLEEPMED HAMPTON ROADS LLC
Other - Org Name:SLEEPMED HAMPTON ROADS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEMANG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-686-8594
Mailing Address - Street 1:PO BOX 3808
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-3808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2713 NEIL ARMSTRONG PKWY STE G1
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1572
Practice Address - Country:US
Practice Address - Phone:757-224-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2165795OtherMDIPA
VA304515OtherANTHEM BCBS
VA8597002OtherCARE FIRST
VA2165795OtherONENET PPO
MD419630OtherCARE FIRST
VA1760512412Medicaid
VA2165795OtherOPTIMUM CHOICE
VA8597001OtherCARE FIRST
MD85TZDIOtherCARE FIRST
VA2165795OtherMAMSI
MD520537OtherCARE FIRST
VAP00600120OtherRAILROAD MEDICARE
VA552495OtherSOUTHERN HEALTH
MD85TZDIOtherCARE FIRST
MD520537OtherCARE FIRST