Provider Demographics
NPI:1902006471
Name:M VARINDANI PC
Entity Type:Organization
Organization Name:M VARINDANI PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:VARINDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-828-0100
Mailing Address - Street 1:307 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:BLAWNOX
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3441
Mailing Address - Country:US
Mailing Address - Phone:412-828-0100
Mailing Address - Fax:412-828-1142
Practice Address - Street 1:307 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:BLAWNOX
Practice Address - State:PA
Practice Address - Zip Code:15238-3441
Practice Address - Country:US
Practice Address - Phone:412-828-0100
Practice Address - Fax:412-828-1142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033580E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015172420005Medicaid
PA126794Medicare PIN