| Valley Internal Medicine,inc | |
|
100 Welday Ave Wintersville OH 43953-3779 | |
| (740) 264-5770 | |
| (740) 264-5780 |
| Full Name | Valley Internal Medicine,inc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 100 Welday Ave, Wintersville, Ohio |
| Authorized Official Name and Position | Atul P Shah (PRESIDENT) |
| Authorized Official Contact | 7402645770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Internal Medicine,inc Po Box 3169 Weirton WV 26062-7169 Ph: (740) 264-5770 | Valley Internal Medicine,inc 100 Welday Ave Wintersville OH 43953-3779 Ph: (740) 264-5770 |
| NPI Number | 1194885236 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194885236 | NPI | - | NPPES |
| 001708262 | Other | WV | MOUNTAIN STATE BLUE SHIEL |
| 2559066 | Medicaid | OH | |
| 3810004880 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Change Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Luray Dr, Wintersville, OH 43953 Phone: 740-314-8258 Fax: 304-723-2195 |