Provider Demographics
NPI:1346235355
Name:VALPIANI, MICHAEL GENE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GENE
Last Name:VALPIANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26 CAROLINA CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-6093
Mailing Address - Country:US
Mailing Address - Phone:702-280-6693
Mailing Address - Fax:928-565-7390
Practice Address - Street 1:3931 STOCKTON HILL RD
Practice Address - Street 2:STE B
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-2426
Practice Address - Country:US
Practice Address - Phone:928-565-7390
Practice Address - Fax:928-565-4172
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30928207L00000X, 208VP0014X
NV6038207L00000X, 208VP0000X
TXH2015207L00000X
UT5888603-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019004Medicaid
AZ069618Medicaid
NV35664Medicare ID - Type UnspecifiedGROUP
AZ35713Medicare ID - Type UnspecifiedGROUP
E47674Medicare UPIN
UT005809701Medicare ID - Type UnspecifiedINDIVIDUAL
NV002019004Medicaid
UT000058097Medicare ID - Type UnspecifiedGROUP
AZ069618Medicaid