Healthcare Provider Details

I. General information

NPI: 1669902532
Provider Name (Legal Business Name): SLEEP & LUNGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 EXECUTIVE DR STE B
HAMPTON VA
23666-2478
US

IV. Provider business mailing address

PO BOX 11768
RICHMOND VA
23230-0168
US

V. Phone/Fax

Practice location:
  • Phone: 757-224-8919
  • Fax:
Mailing address:
  • Phone: 804-281-3319
  • Fax: 804-213-9783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: NAGA S CHIGURUPATI
Title or Position: OWNER
Credential: MD
Phone: 757-812-4484