Provider Demographics
NPI:1770469694
Name:CENTRAL CAROLINA SLEEP CENTERS PA
Entity type:Organization
Organization Name:CENTRAL CAROLINA SLEEP CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANVIR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHODRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-633-4020
Mailing Address - Street 1:610 N FAYETTEVILLE ST STE 302
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4671
Mailing Address - Country:US
Mailing Address - Phone:336-633-4020
Mailing Address - Fax:
Practice Address - Street 1:610 N FAYETTEVILLE ST STE 302
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4671
Practice Address - Country:US
Practice Address - Phone:336-633-4020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty