Provider Demographics
NPI:1316133697
Name:PEAK VIEW INTERNAL MEDICINE, PLC
Entity type:Organization
Organization Name:PEAK VIEW INTERNAL MEDICINE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:IMRAN
Authorized Official - Last Name:SHAFQAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-574-2920
Mailing Address - Street 1:4057 QUARLES CT
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8717
Mailing Address - Country:US
Mailing Address - Phone:540-574-2920
Mailing Address - Fax:540-564-0880
Practice Address - Street 1:4057 QUARLES CT
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8717
Practice Address - Country:US
Practice Address - Phone:540-574-2920
Practice Address - Fax:540-564-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238880207R00000X
VA0101230544207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG61888Medicare UPIN
VAI70224Medicare UPIN