Organization
GRAND LAKE SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAT BABU KUCHIPUDI M.D. (MEDICAL DIRECTOR)
(419) 394-9992
Entity
Organization
Contact information
Practice address
1040 HAGER ST, SAINT MARYS, OH 45885-2421
(419) 394-9992
(419) 394-9629
Mailing address
1040 HAGER ST, SAINT MARYS, OH 45885-2421
(419) 394-9992
(419) 394-9629
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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