Individual
DR. DAX THATTACUNNEL VARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 N CHURCH ST STE 100, GREENSBORO, NC 27401-1041
(336) 375-2300
(336) 375-2314
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2017-00582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730007
NSC #
NC
05
—
1326308891
—
NC
01
—
2017-00582
MEDICAL LICENSE
NC
05
—
NC3018
—
SC
Enumeration date
05/18/2012
Last updated
08/28/2025
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