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NIDRA LLC NPI 1447443403


NPI Information

NPI: 1447443403
Provider Name: NIDRA LLC
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
9471 BAYMEADOWS ROAD
SUITE 101
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 296-1300
Get Directions

NIDRA LLC is a sleep medicine internal medicine in Jacksonville, FL. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. NIDRA LLC NPI is 1447443403. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9471 BAYMEADOWS ROAD
SUITE 101
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 296-1300
Fax: (904) 239-3066

The provider's authorized official is Rahul Kumar Kakkar .
The authorized official title is Ceo and has the following contact phone number (904) 296-1300.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 12/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4261Q00000XClinic/CenterME79882FLORIDANo
5207RS0012XInternal MedicineSleep MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AH804MEDICARE PIN
2H17914MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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