Provider Demographics
NPI:1740287978
Name:VARMA, GEETHA (MD)
Entity type:Individual
Prefix:
First Name:GEETHA
Middle Name:
Last Name:VARMA
Suffix:
Gender:F
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:PO BOX 4363
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-4363
Mailing Address - Country:US
Mailing Address - Phone:831-755-1701
Mailing Address - Fax:831-755-1702
Practice Address - Street 1:505 E ROMIE LN
Practice Address - Street 2:A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4031
Practice Address - Country:US
Practice Address - Phone:831-755-1701
Practice Address - Fax:831-755-1702
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51653207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ67456ZOtherBLUE SHIELD PROVIDER NUMBER GILROY LOCATION
CACA153403OtherMEDICARE PTAN
CAHI725AOtherMEDICARE GROUP PTAN
CAZZZ71527ZOtherBLUE SHIELD PROVIDER NUMBER
CAP00155700OtherRAILROAD PROVIDER NUMBER
CA00C516530Medicaid
CAI11801Medicare UPIN