Organization
SOUTHWEST SLEEP DISORDERS LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ DOORANI MD (CEO)
(360) 241-1083
Entity
Organization
Contact information
Practice address
2401 W GLENDALE AVE STE 203, PHOENIX, AZ 85021-7677
(360) 241-1083
Mailing address
PO BOX 13515, MESA, AZ 85216-3515
(360) 241-1083
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
AZ
Other
Enumeration date
09/17/2010
Last updated
01/03/2011
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