Provider Demographics
NPI:1346460573
Name:CHEETHAM & LUI PC
Entity Type:Organization
Organization Name:CHEETHAM & LUI PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:W
Authorized Official - Last Name:LUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-774-1080
Mailing Address - Street 1:9162 ESTATE THOMAS
Mailing Address - Street 2:BAY 10
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-2687
Mailing Address - Country:US
Mailing Address - Phone:340-774-1080
Mailing Address - Fax:340-774-9842
Practice Address - Street 1:9162 ESTATE THOMAS
Practice Address - Street 2:BAY 10
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2687
Practice Address - Country:US
Practice Address - Phone:340-774-1080
Practice Address - Fax:340-774-9842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI848207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty