Individual
DR. VARUN MIRIYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 615-1488
Mailing address
200 CARMAN AVE APT 19A, EAST MEADOW, NY 11554-1161
(318) 480-9929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
270020
MA
208M00000X
Hospitalist Physician
Primary
T2012
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
11/03/2015
Last updated
03/22/2022
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