Provider Demographics
NPI:1982460341
Name:VALLEY ALLERGY PLLC
Entity Type:Organization
Organization Name:VALLEY ALLERGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RISHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-214-1190
Mailing Address - Street 1:PO BOX 2775
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252-2775
Mailing Address - Country:US
Mailing Address - Phone:480-702-2020
Mailing Address - Fax:480-702-2112
Practice Address - Street 1:4852 E BASELINE RD STE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4628
Practice Address - Country:US
Practice Address - Phone:480-702-2020
Practice Address - Fax:480-702-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty