# DR. ANJU B VARANASI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407070162
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01066678A | IN | — |
| 207Q00000X | Family Medicine Physician | N5451 | TX | Yes |
| 207R00000X | Internal Medicine Physician | 01066678A | IN | — |
| 207R00000X | Internal Medicine Physician | N5451 | TX | — |
| 208M00000X | Hospitalist Physician | N5451 | TX | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 12/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000618860 | ANTHEM PIN | — |
| 01 | — | 100180890G | MEDICAID GROUP | IN |
| 05 | — | 200944160 | — | IN |
| 01 | — | 50027287 | PASSPORT | KY |
| 05 | — | 7100090290 | — | KY |
| 01 | — | P00760408 | RAIL ROAD MEDICARE | — |