Individual
RAJEEV VARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-7912
(309) 661-2368
(309) 662-9709
Mailing address
1505 EASTLAND DR STE 320, BLOOMINGTON, IL 61701-7912
(309) 661-2368
(309) 662-9709
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36114249
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-114249
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114249 2
—
IL
05
—
1073525770
—
WI
01
—
4673170001
DMERC
IL
01
—
P00457730/CK6882
RAIL ROAD MEDICARE
IL
01
—
P00624444CG6042
RAILROAD MEDICARE
IL
01
—
VARMARAJ
MERCYCARE INSURANCE
WI
Enumeration date
08/12/2006
Last updated
01/13/2014
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