| Organization Name: | VALLEY FAMILY PHYSICIAN CARE PC |
| NPI Number: | 1558458018 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PREM KUMAR GULATI (OWNER) |
| Mailing Address: | 1868 Sparkman Dr Nw Huntsville |
| State: | AL US |
| Postal Code: | 358161122 |
| Phone Number: | 2567219916 |
| Fax Number: | 2567219973 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 00010377 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |