Provider Demographics
NPI:1023676632
Name:VARKI, AJIT P (MBBS)
Entity type:Individual
Prefix:
First Name:AJIT
Middle Name:P
Last Name:VARKI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 GILMAN DR # MC0687
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0687
Mailing Address - Country:US
Mailing Address - Phone:858-534-2214
Mailing Address - Fax:
Practice Address - Street 1:9500 GILMAN DR # MC0687
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0687
Practice Address - Country:US
Practice Address - Phone:858-534-2214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA389501744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study