Healthcare Provider Details

I. General information

NPI: 1366420838
Provider Name (Legal Business Name): SUNEEL S VALLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SUNEEL VALLA MD

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST
FOUNTAIN HILL PA
18015-1155
US

IV. Provider business mailing address

244 COBBLESTONE LN
BETHLEHEM PA
18020-8912
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-0224
  • Fax: 484-526-0221
Mailing address:
  • Phone: 610-365-8204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License NumberMD416989
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: