Individual
THEODORE S VARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 JOHN STREET, SUITE M302, KALAMAZOO, MI 49007-5341
(269) 341-7070
(269) 341-7244
Mailing address
BOX 42, 601 JOHN STREET, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101006905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060006933
RAILROAD MEDICARE
MI
01
—
0653910705
BLUE CROSS BLUE SHIELD
MI
01
—
0C97618
BCBS
MI
05
—
112594836
—
MI
05
—
112594845
—
MI
01
—
25-30538
PHYSICIANS HEALTH PLAN
MI
01
—
M015423
CHAMPUS/TRICARE
MI
Enumeration date
02/13/2006
Last updated
08/15/2008
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