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Individual

DR. DEIDRA L. VARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11701 LIVINGSTON RD, SUITE 203, FORT WASHINGTON, MD 20744-5104
(301) 292-7270
(301) 203-0740
Mailing address
1509 PEACHTREE COURT, BOWIE, MD 20721

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0033512
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
058050000
PREFERRED HEALTH
MD
01
115479
KAISER
MD
01
2088208
AETNA US HEALTHCARE
MD
01
2500913
UNTD HLTHC AMERI CHOICE
MD
01
2501191
EVERCARE
MD
01
25970024
BCBSNCA
DC
01
263126
ALLIANCE
MD
05
408340
DC
01
42219503
BCBS OF MARYLAND
MD
01
4356542
AETNA
MD
01
463126
MAMSI
MD
05
481001500
MD
01
498202
NCPPO
MD
01
521973185
FIDELITY PMG
MD
01
7213045013
CIGNA
MD
Enumeration date
05/03/2006
Last updated
04/02/2009
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