Provider Demographics
NPI:1568245389
Name:VARMA, MOHIT (DDS)
Entity Type:Individual
Prefix:
First Name:MOHIT
Middle Name:
Last Name:VARMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PROVIDENCE PL APT 162
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-1764
Mailing Address - Country:US
Mailing Address - Phone:732-512-7908
Mailing Address - Fax:
Practice Address - Street 1:1000 PROVIDENCE PL APT 162
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-1764
Practice Address - Country:US
Practice Address - Phone:732-512-7908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program