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Individual

DR. ANJU B VARANASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
17500 W GRAND PKWY S, SUGAR LAND, TX 77479-2562
(281) 725-5026
(281) 725-5089
Mailing address
909 FROSTWOOD DR STE 1.405, HOUSTON, TX 77024-2301
(713) 338-5519

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01066678A
IN
207Q00000X
Family Medicine Physician
Primary
N5451
TX
207R00000X
Internal Medicine Physician
01066678A
IN
207R00000X
Internal Medicine Physician
N5451
TX
208M00000X
Hospitalist Physician
N5451
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000618860
ANTHEM PIN
01
100180890G
MEDICAID GROUP
IN
05
200944160
IN
01
50027287
PASSPORT
KY
05
7100090290
KY
01
P00760408
RAIL ROAD MEDICARE
Enumeration date
04/12/2007
Last updated
12/05/2024
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