Provider Demographics
NPI:1437220795
Name:VARMA, SHUBHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHUBHA
Middle Name:
Last Name:VARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1221
Mailing Address - Country:US
Mailing Address - Phone:201-224-0757
Mailing Address - Fax:201-224-0759
Practice Address - Street 1:968 RIVER RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1221
Practice Address - Country:US
Practice Address - Phone:201-224-0757
Practice Address - Fax:201-224-0759
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA070294002086S0129X
NY0020582086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0027081Medicaid
NJG81852Medicare UPIN
NJ077624Medicare ID - Type Unspecified