Provider Demographics
NPI:1679504609
Name:VARSHNEY, DEVENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVENDRA
Middle Name:
Last Name:VARSHNEY
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:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-6100
Mailing Address - Country:US
Mailing Address - Phone:830-876-3511
Mailing Address - Fax:830-876-9434
Practice Address - Street 1:300 S 5TH ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-3802
Practice Address - Country:US
Practice Address - Phone:830-876-3511
Practice Address - Fax:830-876-9434
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0232207Q00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128455601Medicaid
742326046OtherEIN
TXC22931Medicare UPIN
898461Medicare ID - Type UnspecifiedRENDERING PROVIDER NO.