Provider Demographics
NPI:1619965944
Name:VARMA, NAVIN K (MD PC)
Entity Type:Individual
Prefix:
First Name:NAVIN
Middle Name:K
Last Name:VARMA
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1452 E RIDGELINE DR # 151
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-4975
Mailing Address - Country:US
Mailing Address - Phone:801-479-7009
Mailing Address - Fax:801-479-7020
Practice Address - Street 1:1452 E RIDGELINE DR #151
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-4975
Practice Address - Country:US
Practice Address - Phone:801-479-7009
Practice Address - Fax:801-479-7020
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT345919-12052084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000012242Medicare PIN
UTU000076520 (IHC-MG)Medicare PIN
UTF37793Medicare UPIN