Organization
CENTER FOR SLEEP AND NASAL SINUS DISORDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADAN N KANDULA (CEO)
(888) 938-3838
Entity
Organization
Contact information
Practice address
53760 GENERATIONS DR, SOUTH BEND, IN 46635-1539
(888) 938-3838
(888) 919-1083
Mailing address
10001 W INNOVATION DR STE 200, MILWAUKEE, WI 53226-4851
(888) 938-3838
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
05/16/2022
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