Provider Demographics
NPI:1568599801
Name:SAKACH, VALERIE ADELE (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ADELE
Last Name:SAKACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:SAKACH
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:300 MOORESVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-0304
Mailing Address - Country:US
Mailing Address - Phone:704-920-1000
Mailing Address - Fax:704-920-1002
Practice Address - Street 1:300 MOORESVILLE ROAD
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-0304
Practice Address - Country:US
Practice Address - Phone:704-920-1000
Practice Address - Fax:704-920-1002
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9401012208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1164394OtherCIGNA
NC8974217Medicaid
NC74217OtherBCBS
NCE64091Medicare UPIN