Provider Demographics
NPI:1891002283
Name:SLEEPMANAGE LLC
Entity Type:Organization
Organization Name:SLEEPMANAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SUBATH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMALASAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-466-7381
Mailing Address - Street 1:3231 SUNSET BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-3483
Mailing Address - Country:US
Mailing Address - Phone:803-936-1646
Mailing Address - Fax:803-936-1647
Practice Address - Street 1:3231 SUNSET BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3483
Practice Address - Country:US
Practice Address - Phone:803-936-1646
Practice Address - Fax:803-936-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC219672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty