Individual
ANNAPOORNA VARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1088 W BALTIMORE PIKE, STE 2407, MEDIA, PA 19063-5136
(610) 565-1808
(877) 329-2370
Mailing address
PO BOX 650782, DALLAS, TX 75265-0782
(888) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD023209E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000952006
—
PA
05
—
6721907
—
NJ
01
—
P00747614
RAILROAD MEDICARE
PA
Enumeration date
10/07/2005
Last updated
02/26/2013
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