| Neurosleep Medical Consulting Services Plc | |
|
8300 Boone Blvd Suite 130 Vienna VA 22182-2626 | |
| (703) 448-7745 | |
| (989) 714-1034 |
| Full Name | Neurosleep Medical Consulting Services Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8300 Boone Blvd, Vienna, Virginia |
| Authorized Official Name and Position | Pranathi Kondapaneni (OWNER) |
| Authorized Official Contact | 7034487745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurosleep Medical Consulting Services Plc 8300 Boone Blvd Suite 130 Vienna VA 22182-2626 Ph: (703) 448-7745 | Neurosleep Medical Consulting Services Plc 8300 Boone Blvd Suite 130 Vienna VA 22182-2626 Ph: (703) 448-7745 |
| NPI Number | 1699012161 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 01/03/2013 |
| Medicare PECOS PAC ID | 3476798257 |
|---|---|
| Medicare Enrollment ID | O20130327000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699012161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 0101253013 (Virginia) | Primary |
| Provider Name | Pranathi Kondapaneni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922022193 PECOS PAC ID: 8628117629 Enrollment ID: I20120220000880 |
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