Provider Demographics
NPI:1801167143
Name:VARMA, NIDHI (MD)
Entity type:Individual
Prefix:
First Name:NIDHI
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 1:6546 WEATHERFIELD CT
Mailing Address - Street 2:UNIT D
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-9252
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6546 WEATHERFIELD CT
Practice Address - Street 2:UNIT D
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-9252
Practice Address - Country:US
Practice Address - Phone:419-491-6333
Practice Address - Fax:419-491-6340
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35098685207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0071369Medicaid