Provider Demographics
NPI:1881823185
Name:SARDANA, VARUN
Entity Type:Individual
Prefix:DR
First Name:VARUN
Middle Name:
Last Name:SARDANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WALNUT RD
Mailing Address - Street 2:APT. 4 2-C
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2246
Mailing Address - Country:US
Mailing Address - Phone:516-247-8797
Mailing Address - Fax:516-674-7639
Practice Address - Street 1:21 WALNUT RD
Practice Address - Street 2:APT. 4 2-C
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2246
Practice Address - Country:US
Practice Address - Phone:516-247-8797
Practice Address - Fax:516-674-7639
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program