Healthcare Provider Details

I. General information

NPI: 1790368553
Provider Name (Legal Business Name): VALLEY PATIENT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2021
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W 10TH ST
FRONT ROYAL VA
22630-2807
US

IV. Provider business mailing address

315 W 10TH ST
FRONT ROYAL VA
22630-2807
US

V. Phone/Fax

Practice location:
  • Phone: 540-252-0033
  • Fax: 888-814-0934
Mailing address:
  • Phone: 540-252-0033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABDULLAH SADIQ
Title or Position: OWNER/AUTHORISED OFFICIAL
Credential:
Phone: 540-252-0033