Organization
MID ATLANTIC SLEEP CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASH P MEHNDIRATTA MD (PARTNER)
(301) 570-9700
Entity
Organization
Contact information
Practice address
19420 GOLF VISTA PLZ, SUITE 110, LANSDOWNE, VA 20176-8265
(703) 729-5537
(301) 260-2838
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-9700
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101235675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132210901
—
MD
01
—
B713127
VA BUSINESS LICENSE
VA
01
—
G22958
UPIN
—
Enumeration date
07/25/2007
Last updated
11/28/2007
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