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Organization
COMPREHENSIVE SLEEP DIAGNOSTICS
Active
Organization
COMPREHENSIVE SLEEP DIAGNOSTICS
Active
Other names
COMPREHENSIVE SLEEP CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
OKTAI MAMEDOV MD (SOLE PROPRIETOR)
(443) 248-1877
Entity
Organization
Contact information
Practice address
3515 COOLIDGE RD STE A, EAST LANSING, MI 48823-8014
(517) 755-6222
(888) 501-3585
Mailing address
18268 PARKSHORE DR, NORTHVILLE, MI 48168-8588
(517) 755-6888
(517) 657-7759
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301096000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C30925
BLUE CROSS
MI
05
—
1457739534
—
MI
Enumeration date
05/11/2015
Last updated
10/04/2024
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