Provider Demographics
NPI:1073787453
Name:DAVID VARLOTTA LLC
Entity Type:Organization
Organization Name:DAVID VARLOTTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VARLOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:913-754-0467
Mailing Address - Street 1:8900 STATE LINE RD
Mailing Address - Street 2:#420
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1941
Mailing Address - Country:US
Mailing Address - Phone:913-754-0467
Mailing Address - Fax:
Practice Address - Street 1:8900 STATE LINE RD
Practice Address - Street 2:#420
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1941
Practice Address - Country:US
Practice Address - Phone:913-754-0467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005406207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty