Provider Demographics
NPI:1013208370
Name:CHRIS A. VARVA, DPM, PLLC
Entity Type:Organization
Organization Name:CHRIS A. VARVA, DPM, PLLC
Other - Org Name:FOOT SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:VARVA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:662-832-3338
Mailing Address - Street 1:1001 S LAKE CV
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9211
Mailing Address - Country:US
Mailing Address - Phone:662-832-3338
Mailing Address - Fax:888-371-8341
Practice Address - Street 1:2168 S LAMAR BLVD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-5224
Practice Address - Country:US
Practice Address - Phone:662-832-3338
Practice Address - Fax:888-371-8341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-21
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS302G484759OtherMEDICARE PTAN
MS302G484759Medicare PIN