Organization
SLEEPMED HAMPTON ROADS LLC
Active
Other names
SleepMed Hampton Roads LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANG SHAH (MEDICAL DIRECTOR)
(757) 686-8594
Entity
Organization
Contact information
Practice address
2713 NEIL ARMSTRONG PKWY STE G1, HAMPTON, VA 23666-1572
(757) 224-4200
Mailing address
PO BOX 3808, HAMPTON, VA 23663-3808
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760512412
—
VA
01
—
2165795
MDIPA
VA
01
—
304515
ANTHEM BCBS
VA
01
—
419630
CARE FIRST
MD
01
—
520537
CARE FIRST
MD
01
—
552495
SOUTHERN HEALTH
VA
01
—
8597001
CARE FIRST
VA
01
—
8597002
CARE FIRST
VA
01
—
85TZDI
CARE FIRST
MD
01
—
P00600120
RAILROAD MEDICARE
VA
Enumeration date
03/06/2007
Last updated
03/03/2023
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