Provider Demographics
NPI:1851387393
Name:VARMA, SURENDRA (MD)
Entity Type:Individual
Prefix:
First Name:SURENDRA
Middle Name:
Last Name:VARMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5865
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5865
Mailing Address - Country:US
Mailing Address - Phone:806-743-2898
Mailing Address - Fax:806-743-2787
Practice Address - Street 1:4102 24TH ST STE 507
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1805
Practice Address - Country:US
Practice Address - Phone:806-743-7334
Practice Address - Fax:806-743-7332
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE34892080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100001190BMedicaid
TX130748002Medicaid
TX130748004Medicaid
TX89C169OtherBC/BS
TX126032102Medicaid
TX126032103OtherFIRSTCARE COMMERCIAL
TX80925ZOtherHMO BLUE
NMV4106Medicaid
NM38193Medicaid
A046OtherTRIWEST
NM38193OtherPRESBYTERIAN COMMERCIAL
TX126032102Medicaid
TX126032103OtherFIRSTCARE COMMERCIAL
OK100001190BMedicaid