Individual
DR. RAJA GUNTURI VARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 S OCEAN AVE STE C, PATCHOGUE, NY 11772-3702
(631) 627-8700
(631) 627-8707
Mailing address
73 S OCEAN AVE, PATCHOGUE, NY 11772-3702
(631) 627-8700
(631) 627-8707
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
232713
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02587204
—
NY
Enumeration date
07/29/2005
Last updated
04/22/2021
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