Organization Active NPI

Sleep Diagnostic Solutions, LLC

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1477576882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME71430 Issued in FL
Legal business name
SLEEP DIAGNOSTIC SOLUTIONS, LLC
Practice address
6957 E Fowler Ave
Tampa, FL 33617-1714
Phone
(813) 988-8920
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sajeev P. Vettichira, MD
Title
Manager
Phone
(813) 988-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME71430 FL Primary

Addresses

Primary practice location

6957 E Fowler Ave
Tampa, FL 33617-1714

Mailing address

6957 E Fowler Ave
Tampa, FL 33617-1714
Phone (813) 988-8920

Other identifiers 1

IdentifierTypeStateIssuer
5709OtherFLCERTIFICATE OF EXEMPTION

National Provider Directory

National Provider Directory

Locations

6957 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 914-9355

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477576882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171714",
            "telephone_number": "813-988-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171714",
            "telephone_number": "813-988-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DIAGNOSTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VETTICHIRA",
        "authorized_official_first_name": "SAJEEV",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-988-8920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME71430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF EXEMPTION",
            "identifier": "5709",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.