Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD024443E | PA |
NPI | 1073599445 |
---|---|
Provider Name | Dr. Swarna Varma |
First Address | Bridgeville, PA 15017-2598 |
Second Address | Bridgeville, PA 15017-2839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 30/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C34101 | (02) |