Provider Demographics
NPI:1417032277
Name:NARGUND, VARADA NARAYAN (DO)
Entity Type:Individual
Prefix:DR
First Name:VARADA
Middle Name:NARAYAN
Last Name:NARGUND
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Gender:F
Credentials:DO
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Mailing Address - Street 1:11350 MCCORMICK RD
Mailing Address - Street 2:EXECUTIVE PLAZA 1, SUITE 501
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1002
Mailing Address - Country:US
Mailing Address - Phone:410-787-8315
Mailing Address - Fax:410-787-8316
Practice Address - Street 1:1600 CRAIN HWY S
Practice Address - Street 2:SUITE 301
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5577
Practice Address - Country:US
Practice Address - Phone:410-787-8315
Practice Address - Fax:410-787-8316
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2021-06-18
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Provider Licenses
StateLicense IDTaxonomies
MDH0067484208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I45687Medicare UPIN
I45687Medicare UPIN