Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 250069-1 | CT |
Y | 207X00000X | Orthopaedic Surgeon | 250069-1 | NY |
N | 207XS0117X | Orthopaedic Spine Surgeon | 250069 | NY |
NPI | 1386684314 |
---|---|
Provider Name | Vikas V. Varma |
First Address | New York, NY 10019-2832 |
Second Address | New York, NY 10019-2832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 14/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03052426 | (05) | NY |
W00321 | (02) |