Provider Demographics
NPI:1922020429
Name:HENRY COUNTY SLEEP DISORDER CENTER
Entity type:Organization
Organization Name:HENRY COUNTY SLEEP DISORDER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAEEM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:LUGHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-471-9757
Mailing Address - Street 1:11600 STATE ROUTE 424
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9719
Mailing Address - Country:US
Mailing Address - Phone:419-592-4015
Mailing Address - Fax:419-591-3850
Practice Address - Street 1:11600 STATE ROUTE 424
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9719
Practice Address - Country:US
Practice Address - Phone:419-592-4015
Practice Address - Fax:419-591-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000350206OtherANTHEM
OH000000350206OtherANTHEM