Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0011X | Interventional Cardiology | 04-44541 | KS |
Y | 207RI0011X | Interventional Cardiology | 32547 | NE |
NPI | 1043314362 |
---|---|
Provider Name | Dr. Vivek Kumar Varma |
First Address | Kearney, NE 68845-2206 |
Second Address | Elkton, MD 21921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 21/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
406558100 | (05) | MD |
E68288 | (02) | MD |
P00188059 | RAILROAD MEDICARE (01) | MD |