Varma, Surendran Raja Raja
Varma, Surendran Raja Raja is an individual health care provider with primary practice located at 625 Clark Ave , Bristol CT 06010-4068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Varma, Surendran Raja Raja can be contacted via phone (860) 583-7700.Contact Information
Primary practice address
625 Clark Ave
Bristol CT 06010-4068
Phone: (860) 583-7700
Fax: (860) 589-7656
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 232460 | New York |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 043632 | Connecticut |
Profile Details
NPI number | 1891795316 |
---|---|
LBN Legal business name | Varma, Surendran Raja Raja |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2005 |
Last updated | May 2nd, 2023 - about last year |
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 | 1891795316 | NPPES |
New York | MEDICAID | 02592556 | |
New York | MEDICAID | 1891795316 |
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