Provider Demographics
NPI:1467080028
Name:TUT, VARINDER
Entity Type:Individual
Prefix:
First Name:VARINDER
Middle Name:
Last Name:TUT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5026 TENNYSON PKWY
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3360
Mailing Address - Country:US
Mailing Address - Phone:469-200-6100
Mailing Address - Fax:469-200-6101
Practice Address - Street 1:5026 TENNYSON PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3360
Practice Address - Country:US
Practice Address - Phone:469-200-6100
Practice Address - Fax:469-200-6101
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU6359207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine