Organization
SOUTHWEST CLEVELAND SLEEP CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOOR AHMED MD (CHIEF FINANCIAL OFFICER)
(440) 239-7533
Entity
Organization
Contact information
Practice address
21625 CHAGRIN BLVD, SUITE 120, BEACHWOOD, OH 44122-5363
(216) 283-2123
(216) 283-2133
Mailing address
17900 JEFFERSON PARK RD, SUITE 102, CLEVELAND, OH 44130-3437
(440) 239-7533
(440) 239-2585
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287200
ANTHEM
OH
Enumeration date
08/31/2006
Last updated
04/20/2008
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