Provider Demographics
NPI:1629134291
Name:VALI, ASHA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHA
Middle Name:
Last Name:VALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12013 BROAD MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1258
Mailing Address - Country:US
Mailing Address - Phone:410-531-9717
Mailing Address - Fax:410-531-5803
Practice Address - Street 1:9801 GEORGIA AVE STE 118
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-5276
Practice Address - Country:US
Practice Address - Phone:301-284-8909
Practice Address - Fax:410-891-5424
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0052861207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF702OtherGHMSI
MD580PF702410001OtherCAREFIRST BCBS
MD0101205OtherAMERICHOICE
MD641001400Medicaid
MDG30667Medicare UPIN
MD0101205OtherAMERICHOICE