Provider Demographics
NPI:1457362527
Name:VARMA, USHA KIRAN (MD)
Entity Type:Individual
Prefix:MRS
First Name:USHA
Middle Name:KIRAN
Last Name:VARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:416 W LAS TUNAS DR
Mailing Address - Street 2:STE 201
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1236
Mailing Address - Country:US
Mailing Address - Phone:626-791-3831
Mailing Address - Fax:
Practice Address - Street 1:416 W LAS TUNAS DR
Practice Address - Street 2:STE 201
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1236
Practice Address - Country:US
Practice Address - Phone:626-285-9705
Practice Address - Fax:626-285-6122
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA32655208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA32655OtherLICENSE NUMBER
CA8418716Medicaid
CA953922799OtherTAX ID
CAAV8739750OtherDEA
CA953922799OtherTAX ID