Provider Demographics
NPI:1942297213
Name:VARMA, VIJAY M (MD)
Entity Type:Individual
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First Name:VIJAY
Middle Name:M
Last Name:VARMA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9715 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 414
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3320
Mailing Address - Country:US
Mailing Address - Phone:240-826-6575
Mailing Address - Fax:240-826-6515
Practice Address - Street 1:9715 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 414
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3320
Practice Address - Country:US
Practice Address - Phone:240-826-6575
Practice Address - Fax:240-826-6515
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2009-07-22
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Provider Licenses
StateLicense IDTaxonomies
MDD09518207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD469581001Medicaid
MD469581001Medicaid
MD005683S37Medicare ID - Type Unspecified