Provider Demographics
NPI:1932251329
Name:VARMA, GURBACHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GURBACHAN
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 1:721 N BEERS ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1518
Mailing Address - Country:US
Mailing Address - Phone:732-264-7803
Mailing Address - Fax:732-739-4408
Practice Address - Street 1:721 N BEERS ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1518
Practice Address - Country:US
Practice Address - Phone:732-264-7803
Practice Address - Fax:732-739-4408
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA380622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0642207Medicaid
NJD96672Medicare UPIN
NJ0642207Medicaid