Provider Demographics
NPI:1174654842
Name:VARSHNEY, RUCHIRA (DO)
Entity Type:Individual
Prefix:DR
First Name:RUCHIRA
Middle Name:
Last Name:VARSHNEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:RUCHIE
Other - Middle Name:
Other - Last Name:VARSHNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:10335 NORTH PORT WASHINGTON RD.
Mailing Address - Street 2:SUITE 180
Mailing Address - City:MEGVON
Mailing Address - State:WI
Mailing Address - Zip Code:53092
Mailing Address - Country:US
Mailing Address - Phone:312-965-1747
Mailing Address - Fax:262-399-0466
Practice Address - Street 1:10335 NORTH PORT WASHINGTON RD.
Practice Address - Street 2:SUITE 180
Practice Address - City:MEGVON
Practice Address - State:WI
Practice Address - Zip Code:53092
Practice Address - Country:US
Practice Address - Phone:312-965-1747
Practice Address - Fax:262-399-0466
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI47380207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43517400Medicaid
WI01994-0142Medicare PIN
WI43517400Medicaid
WIP00941511Medicare PIN