Varadarajulu, Shyam S

Varadarajulu, Shyam S is an individual health care provider with primary practice located at 701 6Th St S , St Petersburg FL 33701-4814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Varadarajulu, Shyam S can be contacted via phone (321) 842-2431.

Contact Information

Primary practice address
701 6Th St S St Petersburg FL 33701-4814
Fax: (321) 842-3651
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME110834 Florida

Profile Details

NPI number 1336161686
LBN Legal business name Varadarajulu, Shyam S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 18th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336161686 NPPES
Florida MEDICAID 005487300

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