# POTTSVILLE SLEEP PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205219458
- **Authorized official:** DR. ZIA HUSSAIN SHAH MD (CEO)
- **Authorized official phone:** (607) 222-5032

## Contact information

- **Practice address:** 1816 W MARKET ST, POTTSVILLE, PA 17901-2002
- **Practice address phone:** (570) 581-8218
- **Practice address fax:** (888) 383-2102
- **Mailing address:** 126 SUNRISE PL, VESTAL, NY 13850-2898
- **Mailing address phone:** (607) 222-5032
- **Mailing address fax:** (866) 546-2496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD454695 | PA | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015