# SKYLARK SLEEP, PLLC

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

## Provider details

- **NPI number:** 1881506897
- **Authorized official:** DR. JAGDEEP BIJWADIA MD (CHEIF MEDICAL OFFICER)
- **Authorized official phone:** (612) 618-1402

## Contact information

- **Practice address:** 420 SUMMIT AVE STE 314, SAINT PAUL, MN 55102-5500
- **Practice address phone:** (612) 618-1402
- **Mailing address:** 784 LINWOOD AVE, SAINT PAUL, MN 55105-3322
- **Mailing address phone:** (612) 618-1402

## Taxonomy

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

## Other

- **Enumeration date:** 09/22/2026
- **Last updated:** 09/22/2026
