Provider Demographics
NPI:1053914721
Name:PATRIOTS SLEEPMANAGEMENT PLLC
Entity type:Organization
Organization Name:PATRIOTS SLEEPMANAGEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SYDE
Authorized Official - Middle Name:V
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-416-2550
Mailing Address - Street 1:20836 HALL RD
Mailing Address - Street 2:SUITE 232
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038
Mailing Address - Country:US
Mailing Address - Phone:586-416-2550
Mailing Address - Fax:248-237-3502
Practice Address - Street 1:20836 HALL RD
Practice Address - Street 2:SUITE 232
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038
Practice Address - Country:US
Practice Address - Phone:586-416-2550
Practice Address - Fax:248-237-3502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATRIOTS SLEEPMANAGEMENT PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty