Provider Demographics
NPI:1629020318
Name:VARMA, HARIDAS K (MD)
Entity Type:Individual
Prefix:
First Name:HARIDAS
Middle Name:K
Last Name:VARMA
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 1:30 HARRISON ST
Mailing Address - Street 2:STE 250
Mailing Address - City:JOHNSON CITY
Mailing Address - State:NY
Mailing Address - Zip Code:13790
Mailing Address - Country:US
Mailing Address - Phone:607-770-8600
Mailing Address - Fax:607-770-0853
Practice Address - Street 1:30 HARRISON ST
Practice Address - Street 2:STE 250
Practice Address - City:JOHNSON CITY
Practice Address - State:NY
Practice Address - Zip Code:13790
Practice Address - Country:US
Practice Address - Phone:607-770-8600
Practice Address - Fax:607-770-0853
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106672207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00663130Medicaid
B82562Medicare UPIN
CC3481Medicare ID - Type Unspecified