Provider Demographics
NPI:1326003013
Name:GARRETT, VALERIE DEE (MD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:DEE
Last Name:GARRETT
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 1:601 VAN NESS AVE STE E3619
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3200
Mailing Address - Country:US
Mailing Address - Phone:415-531-9047
Mailing Address - Fax:415-213-4659
Practice Address - Street 1:601 VAN NESS AVE STE E3619
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3200
Practice Address - Country:US
Practice Address - Phone:415-531-9047
Practice Address - Fax:415-213-4659
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC171118207R00000X
NC9701753207R00000X
ME018511208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2247786AMedicare ID - Type Unspecified
ME001674201Medicare PIN
NC1136NOtherBCBS
G65800Medicare UPIN
NH30209581Medicaid
P00031909OtherRAILROAD MEDICARE
NC891136NMedicaid