Individual
MAQSOOD AHMED VALLIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2066 NC 125 HWY, ROANOKE RAPIDS, NC 27870
(252) 536-5000
(252) 536-2258
Mailing address
PO BOX 1326, ROANOKE RAPIDS, NC 27870-1326
(252) 536-5000
(252) 536-2258
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2001-01403
NC
208000000X
Pediatrics Physician
Primary
2001-01403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001-01403
NC MEDICAL LICENSE #
NC
01
—
2100233
MAMSI PROVIDER #
NC
01
—
2259181
UNITED HEALTH CARE #
NC
05
—
89130YP
—
NC
01
—
C0598
MEDCOST LLC PROVIDER #
NC
Enumeration date
01/03/2006
Last updated
04/01/2024
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