Organization
COMPREHENSIVE SLEEP DIAGNOSTICS
Active
Other names
COMPREHENSIVE SLEEP CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
OKTAI MAMEDOV MD (SOLE PROPRIETOR)
(443) 248-1877
Entity
Organization
Contact information
Practice address
3515 COOLIDGE RD STE A, EAST LANSING, MI 48823-8014
(517) 755-6222
(888) 501-3585
Mailing address
18268 PARKSHORE DR, NORTHVILLE, MI 48168-8588
(517) 755-6888
(517) 657-7759
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301096000
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C30925
BLUE CROSS
MI
05
—
1457739534
—
MI
Enumeration date
05/11/2015
Last updated
10/04/2024
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