Individual
VARUN PUVANESARAJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 305-4565
(212) 932-5067
Mailing address
622 W 168TH ST PH 11, NEW YORK, NY 10032-3720
(212) 305-5976
(212) 305-6193
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
307648
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2013
Last updated
04/22/2021
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