Provider Demographics
NPI:1750471207
Name:VARBANOVA, MARINA ROUMENOVA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARINA
Middle Name:ROUMENOVA
Last Name:VARBANOVA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:929 WOODLAND HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-5219
Mailing Address - Country:US
Mailing Address - Phone:502-244-2200
Mailing Address - Fax:
Practice Address - Street 1:530 SOUTH JACKSON STREET
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-3617
Practice Address - Country:US
Practice Address - Phone:502-852-5851
Practice Address - Fax:502-852-6056
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
KY38751207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology