Individual
DR. SANDEEP VARDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
496 CHERRY ST, BUILDING C, BLUEFIELD, WV 24701-3304
(304) 327-1894
Mailing address
496 CHERRY ST, BUILDING C, BLUEFIELD, WV 24701-3304
(304) 327-1894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19508
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001711019
BLUECROSS BLUESHIELD
WV
05
—
005842981
—
VA
05
—
005842981
—
WV
05
—
0081887000
—
WV
01
—
215690
TRIGON
WV
01
—
5238590
AETNA
WV
Enumeration date
12/19/2006
Last updated
07/09/2007
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