Provider Demographics
NPI:1306890835
Name:VARWANI, MUSA G (MD)
Entity type:Individual
Prefix:
First Name:MUSA
Middle Name:G
Last Name:VARWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 WALNUT HILL LN STE 830
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4426
Mailing Address - Country:US
Mailing Address - Phone:214-345-7999
Mailing Address - Fax:214-345-7942
Practice Address - Street 1:8200 WALNUT HILL LN STE 830
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4426
Practice Address - Country:US
Practice Address - Phone:214-345-7999
Practice Address - Fax:214-345-7942
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3103207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181902101Medicaid
TX181902102Medicaid
TX8V2356OtherBCBSTX
TX330060YMR3Medicare PIN
TX8V2356OtherBCBSTX
TX181902101Medicaid
TX8G6746Medicare PIN
H32976Medicare UPIN