Provider Demographics
NPI:1992956916
Name:SLEEPHEART OF MARYLAND LLC
Entity type:Organization
Organization Name:SLEEPHEART OF MARYLAND LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-538-0685
Mailing Address - Street 1:18301 BRIGHT PLUME TER
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4381
Mailing Address - Country:US
Mailing Address - Phone:617-401-8929
Mailing Address - Fax:617-277-3459
Practice Address - Street 1:9707 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3348
Practice Address - Country:US
Practice Address - Phone:301-637-2234
Practice Address - Fax:617-277-3459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty