Provider Demographics
NPI:1740479112
Name:SLEEP AND FATIGUE ASSOCIATES PA
Entity type:Organization
Organization Name:SLEEP AND FATIGUE ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARAFKHANEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-858-8316
Mailing Address - Street 1:203 S 1ST 1/2 ST
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-2227
Mailing Address - Country:US
Mailing Address - Phone:409-527-0327
Mailing Address - Fax:
Practice Address - Street 1:2600 HIGHWAY 365
Practice Address - Street 2:SUITE E
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6237
Practice Address - Country:US
Practice Address - Phone:409-727-3612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty