Provider Demographics
NPI:1225031461
Name:DASARI, VARALAXMI S (MD)
Entity Type:Individual
Prefix:
First Name:VARALAXMI
Middle Name:S
Last Name:DASARI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 440222
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37244-0222
Mailing Address - Country:US
Mailing Address - Phone:615-329-6299
Mailing Address - Fax:615-329-6298
Practice Address - Street 1:2011 MURPHY AVE
Practice Address - Street 2:STE 201
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2166
Practice Address - Country:US
Practice Address - Phone:615-329-6299
Practice Address - Fax:615-329-6298
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN376052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNG95101Medicare UPIN