Provider Demographics
NPI:1023702479
Name:WELLNESS INSTITUTE FOR SLEEP AND HEALTH, PLLC
Entity type:Organization
Organization Name:WELLNESS INSTITUTE FOR SLEEP AND HEALTH, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANKUR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:360-345-3175
Mailing Address - Street 1:3517 NW CAMAS MEADOWS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7672
Mailing Address - Country:US
Mailing Address - Phone:360-345-3175
Mailing Address - Fax:
Practice Address - Street 1:3517 NW CAMAS MEADOWS DR STE 210
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7672
Practice Address - Country:US
Practice Address - Phone:360-345-3175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty