Provider Demographics
NPI:1013234764
Name:VARMA, ARCHANA S (MD)
Entity Type:Individual
Prefix:
First Name:ARCHANA
Middle Name:S
Last Name:VARMA
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 1:6427 MALLARD FIELDS CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2189
Mailing Address - Country:US
Mailing Address - Phone:281-208-9503
Mailing Address - Fax:281-208-9504
Practice Address - Street 1:20303 S UNIVERSITY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3662
Practice Address - Country:US
Practice Address - Phone:281-208-9503
Practice Address - Fax:281-208-9504
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9480208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX344175004Medicaid
TX344175002Medicaid
TX344175003Medicaid
TX488506YKTUMedicare PIN
TX488506YKTVMedicare PIN
TX488506YKTXMedicare PIN