Individual
DR. BASIL VARELDZIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9125 NAUTICAL WATCH DR, INDIANAPOLIS, IN 46236-9036
(317) 919-2846
Mailing address
PO BOX 361655, INDIANAPOLIS, IN 46236-1655
(317) 919-2846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01036191A
IN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
01036191A
IN
2084P0015X
Psychosomatic Medicine Physician
Primary
01036191A
IN
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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