Provider Demographics
NPI:1134949316
Name:HAVEN HEALTH SLEEP MEDICINE, PLLC
Entity type:Organization
Organization Name:HAVEN HEALTH SLEEP MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-558-7075
Mailing Address - Street 1:18600 VAN HORN RD STE A
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-3853
Mailing Address - Country:US
Mailing Address - Phone:734-766-4446
Mailing Address - Fax:734-982-3003
Practice Address - Street 1:18600 VAN HORN RD STE A
Practice Address - Street 2:
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183-3853
Practice Address - Country:US
Practice Address - Phone:734-766-4446
Practice Address - Fax:734-982-3003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty