Provider Demographics
NPI:1992035281
Name:VARGA, ILDIKO GUTAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ILDIKO
Middle Name:GUTAY
Last Name:VARGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8320 PINEHURST DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6423
Mailing Address - Country:US
Mailing Address - Phone:440-888-7844
Mailing Address - Fax:440-888-7844
Practice Address - Street 1:8320 PINEHURST DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6423
Practice Address - Country:US
Practice Address - Phone:440-888-7844
Practice Address - Fax:440-888-7844
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.054904208D00000X
OH35054904208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice