Provider Demographics
NPI:1093336802
Name:DOBARIYA, VARUN
Entity Type:Individual
Prefix:
First Name:VARUN
Middle Name:
Last Name:DOBARIYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 COUNTRY CLUB RD STE 204
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-1564
Mailing Address - Country:US
Mailing Address - Phone:724-707-6462
Mailing Address - Fax:
Practice Address - Street 1:1029 COUNTRY CLUB RD STE 204
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-1564
Practice Address - Country:US
Practice Address - Phone:724-707-6462
Practice Address - Fax:877-569-3217
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD483248207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine