Organization
CENTER FOR SLEEP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEEMA KHOSLA MD (MEDICAL DOCTOR)
(701) 356-3000
Entity
Organization
Contact information
Practice address
4152 30TH AVE S, SUITE 103B, FARGO, ND 58104-8403
(701) 356-3000
(701) 271-9260
Mailing address
4152 30TH AVE S, SUITE 103B, FARGO, ND 58104-8403
(701) 356-3000
(701) 271-9260
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
10030
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15430
—
ND
05
—
1740503358
—
MN
Enumeration date
03/10/2010
Last updated
10/07/2010
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