Individual
HIMANSHU D. DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL PKWY STE 222A, CHESAPEAKE, VA 23320-4985
(757) 917-5716
(757) 524-4396
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(757) 842-4481
(757) 312-3135
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101246880
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101246880
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-029
TRICARE/CHAMPUS
VA
01
—
10060446
OPTIMA HEALTH
VA
05
—
1013153014
—
VA
01
—
408336
ANTHEM BC/BS
VA
05
—
5914867
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
12/21/2008
Last updated
07/01/2024
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