Provider Demographics
NPI:1760608897
Name:UHL, VALERY (MD)
Entity Type:Individual
Prefix:
First Name:VALERY
Middle Name:
Last Name:UHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 COUNTRY HILLS DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-7319
Mailing Address - Country:US
Mailing Address - Phone:925-418-0278
Mailing Address - Fax:925-978-0991
Practice Address - Street 1:1480 64TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1183
Practice Address - Country:US
Practice Address - Phone:510-629-6682
Practice Address - Fax:510-830-3316
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA A43655174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE94595Medicare UPIN