Individual
DR. VARUN KUMAR BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 500, COLUMBIA, SC 29203
(803) 434-4555
(803) 434-4599
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
003000
GA
208600000X
Surgery Physician
Primary
440460
SC
2086S0120X
Pediatric Surgery Physician
440460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404609
—
SC
Enumeration date
06/25/2008
Last updated
06/02/2021
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