| NPI | 1609112259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI MAHADEVIA Owner 701-732-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173F00000X Sleep Specialist, PhD |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |