Individual
DR. JAYADEEP SRINIVAS VARANASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1126 N CHURCH ST STE 300, GREENSBORO, NC 27401-1037
(336) 938-0800
Mailing address
PO BOX 14883, GREENSBORO, NC 27415-4883
(336) 275-4096
(336) 274-5021
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200100289
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301H
BCBS OF NC
NC
01
—
191261
MEDCOST
NC
05
—
5904871
—
NC
01
—
808208
PARTNERS
NC
Enumeration date
07/29/2006
Last updated
08/16/2023
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