Organization
TIDEWATER LUNG AND SLEEP CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJNISH DHAWAN MD (PROVIDER)
(757) 771-7099
Entity
Organization
Contact information
Practice address
1500 BREEZEPORT WAY STE 600, SUFFOLK, VA 23435-3731
(757) 528-8245
(757) 394-1132
Mailing address
1500 BREEZEPORT WAY STE 600, SUFFOLK, VA 23435-3731
(757) 528-8245
(757) 394-1132
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
10/21/2020
Last updated
03/15/2024
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