Varma, Raja Gunturi

Varma, Raja Gunturi is an sole proprietor health care provider with primary practice located at 73 S Ocean Ave Ste C , Patchogue NY 11772-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Varma, Raja Gunturi can be contacted via phone (631) 627-8700.

Contact Information

Primary practice address
73 S Ocean Ave Ste C Patchogue NY 11772-3702
Phone: (631) 627-8700
Fax: (631) 627-8707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 232713 New York

Profile Details

NPI number 1699775759
LBN Legal business name Varma, Raja Gunturi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Apr 22nd, 2021 - about 3 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 1699775759 NPPES
New York MEDICAID 02587204

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