Provider Demographics
NPI:1093162604
Name:VALLEY MEDICAL INTERNIST, PLC
Entity Type:Organization
Organization Name:VALLEY MEDICAL INTERNIST, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARASHAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-550-1119
Mailing Address - Street 1:67 S HIGLEY RD
Mailing Address - Street 2:#103-509
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-1166
Mailing Address - Country:US
Mailing Address - Phone:480-550-1119
Mailing Address - Fax:888-417-1497
Practice Address - Street 1:67 S HIGLEY RD
Practice Address - Street 2:#103-509
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-1166
Practice Address - Country:US
Practice Address - Phone:480-550-1119
Practice Address - Fax:888-417-1497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty