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NPI Code Detail

MEDICARE: DR. VALERIE PRATT ISRAEL D.O.

MEDICARE: DR. VALERIE PRATT ISRAEL D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician006086AZ
2174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497763775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE PRATT ISRAEL D.O.
Provider Business Mailing Address
First Line : 2200 E SHOW LOW LAKE RD
Second Line :
City : SHOW LOW
State : AZ
Zip : 85901-7831
Country : US
Telephone Number : 928-537-6937
Fax Number :
Provider Business Practice Location Address
First Line : 101 CIVIC CENTER LN
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86403-5607
Country : US
Telephone Number : 928-453-3761
Fax Number : 928-453-3771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 03/11/2026

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