Lung Specialists of Tidewater PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LUNG SPECIALISTS OF TIDEWATER PLLC

Practice address

224 Avonlea Pointe
Chesapeake, VA 23322-4279

Phone

(757) 354-7405

NPI assigned

Nov 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Himanshu Desai, MD

Title

Physician, Operating Manager

Phone

(757) 354-7405

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573948800000",
    "number": "1104461896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 AVONLEA POINTE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224279",
            "telephone_number": "757-354-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 AVONLEA POINTE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224279",
            "telephone_number": "757-354-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG SPECIALISTS OF TIDEWATER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "PHYSICIAN, OPERATING MANAGER",
        "authorized_official_telephone_number": "757-354-7405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etienne Luma
• Terry A. Lumber, NP, RN
• Luminous ABA, LLC
• Darby Lundquist, RBT
• Diana Leigh Lundquist
• Zion Luster
• Isabella Luther
• Luxottica of America Inc.
• Luxottica of America Inc.
• Anna Lynch

• Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.