Provider Demographics
NPI:1659566479
Name:VARA, CHRISTOPHER S (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:S
Last Name:VARA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:215 RADIO DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-3604
Mailing Address - Country:US
Mailing Address - Phone:612-596-6100
Mailing Address - Fax:612-339-0324
Practice Address - Street 1:215 RADIO DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-5817
Practice Address - Country:US
Practice Address - Phone:612-596-6100
Practice Address - Fax:612-339-0324
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2020-07-07
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Provider Licenses
StateLicense IDTaxonomies
MN59606207X00000X
TXM8401207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN189140001Medicaid
MN189140001Medicaid
MN8K0082Medicare PIN