Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 248172 | MA |
N | 111NI0900X | Internist | 248172 | MA |
Y | 207RH0000X | Hematologist | 0101264736 | VA |
N | 207RH0003X | Hematology & Oncology | 0101264736 | VA |
NPI | 1073897864 |
---|---|
Provider Name | Indumathy Varadarajan |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2011 |
Last Update Date | 02/08/2021 |