Organization
POLY-TECH SLEEP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRABHAKARA R TUMPATI M.D. (OWNER)
(215) 676-2334
Entity
Organization
Contact information
Practice address
1718 WELSH RD, 2ND FLOOR; SUITE C, PHILADELPHIA, PA 19115-4213
(215) 676-2334
(215) 676-2366
Mailing address
1718 WELSH RD, 2ND FLOOR, SUITE C, PHILADELPHIA, PA 19115-4213
(215) 676-2334
(215) 676-2366
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
MD432380
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD432380
PA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
MD432380
PA
Other
Enumeration date
04/25/2011
Last updated
08/13/2014
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