Healthcare Provider Details

I. General information

NPI: 1346570439
Provider Name (Legal Business Name): VAL G HEMMING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 JONE BRIDGE ROAD UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
BETHESDA MD
20814
US

IV. Provider business mailing address

3208 WAKE DR
KENSINGTON MD
20895-3215
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-3130
  • Fax:
Mailing address:
  • Phone: 301-942-5566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License NumberD0039968
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number157321-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: