Thangali Varadaraju, Bhargav
Thangali Varadaraju, Bhargav is an individual health care provider with primary practice located at 153 E Monte Painter Dr , Fayetteville AR 72703-4002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Thangali Varadaraju, Bhargav can be contacted via phone (479) 601-2314.Contact Information
Primary practice address
153 E Monte Painter Dr
Fayetteville AR 72703-4002
Phone: (479) 601-2314
Fax: (888) 664-5545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E6225 | Arkansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT187633 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | E 6225 | Arkansas |
Profile Details
| NPI number | 1982859351 |
|---|---|
| LBN Legal business name | Thangali Varadaraju, Bhargav |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2008 |
| Last updated | Feb 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982859351 | NPPES |
| Arkansas | MEDICAID | 178569001 | |
| Arkansas | MEDICAID | 200260650A |
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