Organization
VALLEY INTERNAL MEDICINE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATUL P SHAH MD (PRESIDENT)
(740) 264-5770
Entity
Organization
Contact information
Practice address
100 WELDAY AVE, WINTERSVILLE, OH 43953-3779
(740) 264-5770
(740) 264-5780
Mailing address
PO BOX 3169, WEIRTON, WV 26062-7169
(740) 264-5770
(740) 264-5780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001708262
MOUNTAIN STATE BLUE SHIEL
WV
05
—
2559066
—
OH
05
—
3810004880
—
WV
Enumeration date
12/11/2006
Last updated
02/09/2010
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