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Organization
SOUTHWEST CLEVELAND SLEEP CENTER INC
Active
Organization
SOUTHWEST CLEVELAND SLEEP CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOOR AHMED MD (CHIEF FINANCIAL OFFICER)
(440) 239-7533
Entity
Organization
Contact information
Practice address
21625 CHAGRIN BLVD, SUITE 120, BEACHWOOD, OH 44122-5363
(216) 283-2123
(216) 283-2133
Mailing address
17900 JEFFERSON PARK RD, SUITE 102, CLEVELAND, OH 44130-3437
(440) 239-7533
(440) 239-2585
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287200
ANTHEM
OH
Enumeration date
08/31/2006
Last updated
04/20/2008
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