Provider Demographics
NPI:1720247208
Name:VARSHNEY, DEEPA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPA
Middle Name:
Last Name:VARSHNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEEPA
Other - Middle Name:
Other - Last Name:VARSHNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 13442
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78711-3442
Mailing Address - Country:US
Mailing Address - Phone:512-323-5465
Mailing Address - Fax:512-327-1390
Practice Address - Street 1:5656 BEE CAVES RD BLDG C # 101
Practice Address - Street 2:SUITE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7874
Practice Address - Country:US
Practice Address - Phone:512-323-5465
Practice Address - Fax:512-327-1390
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9974207R00000X
TNMD48567207R00000X, 207R00000X
TN48567208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284969702Medicaid
TX284969701Medicaid
TXP01004520Medicare PIN
TXTXB137522Medicare PIN
TX284969702Medicaid