Organization
VALLEY HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAH AL FAROOQUE (PRESIDENT)
(703) 393-8883
Entity
Organization
Contact information
Practice address
8609 SUDLEY RD, SUITE 105, MANASSAS, VA 20110-4500
(703) 393-8883
(703) 686-4240
Mailing address
PO BOX 27, STERLING, VA 20167-0027
(703) 393-8883
(703) 686-4240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101227765
VA
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005867568
—
VA
05
—
1912065863
—
VA
Enumeration date
12/04/2006
Last updated
02/03/2020
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