Provider Demographics
NPI:1497719546
Name:BHASKAR, VARUN (MD)
Entity Type:Individual
Prefix:DR
First Name:VARUN
Middle Name:
Last Name:BHASKAR
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 1:2212 CYPRESS HOLLOW CT
Mailing Address - Street 2:SUITE#P
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5517
Mailing Address - Country:US
Mailing Address - Phone:727-772-0949
Mailing Address - Fax:727-781-0439
Practice Address - Street 1:2855 ALT 19
Practice Address - Street 2:SUITE#P
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-1926
Practice Address - Country:US
Practice Address - Phone:727-772-0949
Practice Address - Fax:727-781-0439
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70842207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250600900Medicaid
FL31511AMedicare ID - Type Unspecified
FLF14623Medicare UPIN