Provider Demographics
NPI:1952396400
Name:VARON, NESTOR F (MD)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:F
Last Name:VARON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:29729 N 69TH LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-3185
Mailing Address - Country:US
Mailing Address - Phone:623-217-2237
Mailing Address - Fax:877-422-8771
Practice Address - Street 1:7119 E SHEA BLVD
Practice Address - Street 2:SUITE 109-365
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6107
Practice Address - Country:US
Practice Address - Phone:480-607-6825
Practice Address - Fax:480-607-8133
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ32203207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZP00192433OtherRAILROAD MEDICARE
AZ2Z2121OtherHEALTHNET
AZAZ0756150OtherBCBS
AZ862723Medicaid
AZ862723Medicaid
AZ79772Medicare ID - Type Unspecified