LUNG SPECIALISTS OF TIDEWATER PLLC


Address: 224 Avonlea Pointe, Chesapeake, VA 23322-4279
Phone: 7573547405

LUNG SPECIALISTS OF TIDEWATER PLLC (NPI# 1104461896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104461896
Entity Type Organization
Organization Name LUNG SPECIALISTS OF TIDEWATER PLLC
Practice Address 224 Avonlea Pointe
Chesapeake
VA 23322-4279
Practice Telephone 7573547405
Mailing Telephone 7573547405
Enumeration Date 2019-11-17
Last Update Date 2019-11-17
Authorized Official Name DR. HIMANSHU DESAI (PHYSICIAN, OPERATING MANAGER)
Authorized Official Telephone 7573547405
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 224 AVONLEA POINTE
City CHESAPEAKE
State VA
Zip Code 23322-4279

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NPI Name Taxonomy Address Enumeration
1417571522 Infectious Disease Specialists Pllc Internal Medicine 224 Avonlea Pointe, Chesapeake, VA 23322-4279 2020-06-04

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1194015289 Cox Chiropractic Wellness Center Clinic/Center 801 Poindexter St, Suite 219, Chesapeake, VA 23324-2358 2011-04-11

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Competitor

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City CHESAPEAKE
Zip Code 23322

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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