Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Valley Medical Clinic PC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1164537569

Valley Medical Clinic PC is a Pain Medicine (Anesthesiology) Physician in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Main Ave Ste 200
Fargo, ND 58103-1930
Phone: (701) 297-0817
Fax: (701) 297-6870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 4806 (ND)

Record details

NPI number1164537569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Panjini Sivanna — President · (701) 297-0817
Other names Valley Internal Medicine Assoc
NPI enumeratedAugust 19, 2006
Last updated in NPPESApril 2, 2015
Mailing address300 Main Ave, Ste 200, Fargo, ND 58103-1930

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