Organization
CAPITAL CITY SLEEP CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MULAI TEKLU YOHANNES M.D. (ADMINISTRATOR)
(202) 279-7342
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, RM 4436, WASHINGTON, DC 20032-4623
(202) 279-7342
(202) 574-5391
Mailing address
1310 SOUTHERN AVE SE, RM 4436, WASHINGTON, DC 20032-4623
(202) 279-7342
(202) 574-5391
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
05/12/2014
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