Provider Demographics
NPI:1255480976
Name:VARMA, ABHA G (MD)
Entity type:Individual
Prefix:
First Name:ABHA
Middle Name:G
Last Name:VARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABHA
Other - Middle Name:
Other - Last Name:GUPTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7531 SATTERLEE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48838-9523
Mailing Address - Country:US
Mailing Address - Phone:616-504-2693
Mailing Address - Fax:616-226-4763
Practice Address - Street 1:7531 SATTERLEE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MI
Practice Address - Zip Code:48838-9523
Practice Address - Country:US
Practice Address - Phone:616-504-2693
Practice Address - Fax:616-226-4763
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301072430207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H54966Medicare UPIN
MI0D16150179Medicare ID - Type Unspecified
MI0M74460371Medicare PIN