Provider Demographics
NPI:1356951180
Name:US TELE SLEEP LLC
Entity type:Organization
Organization Name:US TELE SLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SURESH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MEREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-341-3421
Mailing Address - Street 1:13204 SE 306TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3278
Mailing Address - Country:US
Mailing Address - Phone:914-409-6393
Mailing Address - Fax:425-955-3803
Practice Address - Street 1:1755 PARK ST STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8404
Practice Address - Country:US
Practice Address - Phone:425-341-3421
Practice Address - Fax:425-955-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty