Provider Demographics
NPI:1821341389
Name:SILICON VALLEY INTEGRATED SLEEP CENTER APC
Entity Type:Organization
Organization Name:SILICON VALLEY INTEGRATED SLEEP CENTER APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:ADNAN
Authorized Official - Last Name:SHAKIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-358-8090
Mailing Address - Street 1:14651 S BASCOM AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2005
Mailing Address - Country:US
Mailing Address - Phone:408-358-8090
Mailing Address - Fax:
Practice Address - Street 1:14651 S BASCOM AVE STE 230
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2005
Practice Address - Country:US
Practice Address - Phone:408-358-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory