Provider Demographics
NPI:1790212892
Name:THAPAR, VARUN (MD)
Entity Type:Individual
Prefix:
First Name:VARUN
Middle Name:
Last Name:THAPAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1 DAKOTA DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-622-2900
Mailing Address - Fax:516-622-2901
Practice Address - Street 1:1 DAKOTA DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-622-2900
Practice Address - Fax:516-622-2901
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY305801207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine