Organization
LUNG SPECIALISTS OF TIDEWATER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMANSHU DESAI MD (PHYSICIAN, OPERATING MANAGER)
(757) 354-7405
Entity
Organization
Contact information
Practice address
224 AVONLEA POINTE, CHESAPEAKE, VA 23322-4279
(757) 354-7405
Mailing address
224 AVONLEA POINTE, CHESAPEAKE, VA 23322-4279
(757) 354-7405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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