Individual
VARUNI H. KUMARASHEKHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5704 PANDALE, SAN ANTONIO, TX 78261-2628
(210) 865-4406
Mailing address
5704 PANDALE, SAN ANTONIO, TX 78261-2628
(210) 865-4406
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1703P
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176367401
—
TX
01
—
200850300
DEPARTMENT OF LABOR
TX
01
—
4986670022
PALMETTO GBA
TX
01
—
7107646
AETNA
TX
01
—
8J1314
BCBS
TX
01
—
P00303299
MEDICARE RAILROAD
TX
Enumeration date
07/01/2005
Last updated
01/22/2013
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