Provider Demographics
NPI:1982683751
Name:RESPIRATORY AND SLEEP DISORDERS CONSULTANTS, INC.
Entity Type:Organization
Organization Name:RESPIRATORY AND SLEEP DISORDERS CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARINATHRAO
Authorized Official - Middle Name:R
Authorized Official - Last Name:DACHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-329-7397
Mailing Address - Street 1:125 E BROAD ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6400
Mailing Address - Country:US
Mailing Address - Phone:440-329-7397
Mailing Address - Fax:440-329-7396
Practice Address - Street 1:125 E BROAD ST
Practice Address - Street 2:SUITE 119
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-6400
Practice Address - Country:US
Practice Address - Phone:440-329-7397
Practice Address - Fax:440-329-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3546450174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9923582Medicare ID - Type UnspecifiedMEDICARE GR. NUMBER