# POLY-TECH SLEEP SERVICES LLC

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

## Provider details

- **NPI number:** 1518197847
- **Authorized official:** DR. PRABHAKARA R TUMPATI M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (267) 864-6101

## Contact information

- **Practice address:** 1718 WELSH RD, SECOND FLOOR, SUITE C, PHILADELPHIA, PA 19115-4213
- **Practice address phone:** (215) 676-2334
- **Practice address fax:** (215) 676-2366
- **Mailing address:** 1718 WELSH RD, SECOND FLOOR, SUITE C, PHILADELPHIA, PA 19115-4213
- **Mailing address phone:** (215) 676-2334
- **Mailing address fax:** (215) 676-2366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RB0002X | Obesity Medicine (Internal Medicine) Physician | MD432380 | PA | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | MD432380 | PA | — |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | YM005236L | PA | Yes |

## Other

- **Enumeration date:** 07/21/2009
- **Last updated:** 01/03/2012