Provider Demographics
NPI:1720269939
Name:VARIN KULE MD PC
Entity Type:Organization
Organization Name:VARIN KULE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VARIN
Authorized Official - Middle Name:U
Authorized Official - Last Name:KULE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-893-3503
Mailing Address - Street 1:200 S WENONA ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-8820
Mailing Address - Country:US
Mailing Address - Phone:989-893-3503
Mailing Address - Fax:989-893-1022
Practice Address - Street 1:800 SOUTH EUCLID AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706
Practice Address - Country:US
Practice Address - Phone:989-893-3503
Practice Address - Fax:989-893-1022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIVK033665207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1097077Medicaid
MI0P52010Medicare PIN