Organization
SOUND SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMILI MATHUR (OWNER)
(301) 873-8379
Entity
Organization
Contact information
Practice address
6626 MUIR DR, HAYMARKET, VA 20169-2742
(301) 873-8379
Mailing address
6626 MUIR DR, HAYMARKET, VA 20169-2742
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102202672
LICENSE
VA
Enumeration date
10/06/2020
Last updated
10/06/2020
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