Organization Name: | VALLEY FAMILY PHYSICIAN CARE |
NPI Number: | 1851444368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITV KUMAR PAHWA (BILLING) |
Mailing Address: | 1868 Sparkman Dr. Nw Huntsville |
State: | AL US |
Postal Code: | 358161122 |
Phone Number: | 2567219916 |
Fax Number: | 2567219973 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 04/25/2011 |
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: |