Provider Demographics
NPI:1629136163
Name:PARESH N. VARU M.D. , INC
Entity Type:Organization
Organization Name:PARESH N. VARU M.D. , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PARESH
Authorized Official - Middle Name:N
Authorized Official - Last Name:VARU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-846-5888
Mailing Address - Street 1:241 W OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1825
Mailing Address - Country:US
Mailing Address - Phone:818-846-5888
Mailing Address - Fax:818-846-6222
Practice Address - Street 1:241 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1825
Practice Address - Country:US
Practice Address - Phone:818-846-5888
Practice Address - Fax:818-846-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15936Medicare PIN