Provider Demographics
NPI:1023392156
Name:RAM, VARSHA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:VARSHA
Middle Name:
Last Name:RAM
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:21540 PROVINCIAL BLVD APT 928
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7529
Mailing Address - Country:US
Mailing Address - Phone:979-877-0022
Mailing Address - Fax:979-885-3810
Practice Address - Street 1:1036 N CIRCLE DR
Practice Address - Street 2:
Practice Address - City:SEALY
Practice Address - State:TX
Practice Address - Zip Code:77474-3336
Practice Address - Country:US
Practice Address - Phone:989-877-0022
Practice Address - Fax:989-885-3810
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA07378363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant