Individual
MR. JAI K VARANDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1119 LAKE ST, PENNINGTON GAP, VA 24277-2007
(276) 546-1182
(276) 546-2497
Mailing address
PO BOX 187, PENNINGTON GAP, VA 24277-0187
(276) 546-1182
(276) 546-2497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101031886
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006087670
—
VA
Enumeration date
05/01/2006
Last updated
08/18/2008
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