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Individual

NIRAJ VARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033
Mailing address
2160 S FIRST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER, MAYWOOD, IL 60153
(708) 216-9000
(708) 216-9033

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036114112
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036114112
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K19689
MEDICARE
IL
Enumeration date
12/05/2006
Last updated
04/11/2008
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