| Lung Specialists Of Tidewater Pllc | |
|
224 Avonlea Pointe Chesapeake VA 23322-4279 | |
| (757) 354-7405 | |
| Not Available |
| Full Name | Lung Specialists Of Tidewater Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 224 Avonlea Pointe, Chesapeake, Virginia |
| Authorized Official Name and Position | Himanshu Desai (PHYSICIAN, OPERATING MANAGER) |
| Authorized Official Contact | 7573547405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lung Specialists Of Tidewater Pllc 224 Avonlea Pointe Chesapeake VA 23322-4279 Ph: (757) 354-7405 | Lung Specialists Of Tidewater Pllc 224 Avonlea Pointe Chesapeake VA 23322-4279 Ph: (757) 354-7405 |
| NPI Number | 1104461896 |
|---|---|
| Provider Enumeration Date | 11/17/2019 |
| Last Update Date | 11/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104461896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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