Provider Demographics
NPI:1992055578
Name:VALA, SNEHAL KANTILAL (MD)
Entity type:Individual
Prefix:
First Name:SNEHAL
Middle Name:KANTILAL
Last Name:VALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5153 NORTH 9TH AVE
Mailing Address - Street 2:6TH FLOOR NEMOURS
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504
Mailing Address - Country:US
Mailing Address - Phone:850-416-7658
Mailing Address - Fax:850-416-7677
Practice Address - Street 1:5153 NORTH 9TH AVE
Practice Address - Street 2:6TH FLOOR NEMOURS
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504
Practice Address - Country:US
Practice Address - Phone:850-416-7658
Practice Address - Fax:850-416-7677
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN17681208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics