Provider Demographics
NPI:1992777080
Name:CHIRURGI, VALERIE A (MD)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:A
Last Name:CHIRURGI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1789 BARCELONA STREET
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550
Mailing Address - Country:US
Mailing Address - Phone:925-463-1318
Mailing Address - Fax:925-460-9002
Practice Address - Street 1:5575 W LAS POSITAS BL
Practice Address - Street 2:#210
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-463-1318
Practice Address - Fax:925-460-9002
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59389207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G593890Medicaid
CAZZZ34971ZMedicare PIN
CA00G593891Medicare PIN
E42189Medicare UPIN
CA00G593890Medicaid