Provider Demographics
NPI:1205982659
Name:VARN, MILES (MD)
Entity type:Individual
Prefix:DR
First Name:MILES
Middle Name:
Last Name:VARN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W PRATT ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2423
Mailing Address - Country:US
Mailing Address - Phone:410-991-4164
Mailing Address - Fax:410-244-7170
Practice Address - Street 1:250 W PRATT ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2423
Practice Address - Country:US
Practice Address - Phone:410-991-4164
Practice Address - Fax:410-244-7170
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0044225207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine