Individual
PURVA CHARUDATTA VARADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7047 OLD MADISON PIKE NW STE 310, HUNTSVILLE, AL 35806-2188
(256) 922-9919
Mailing address
4419 HIDDEN LAKE DR SE, OWENS CROSS ROADS, AL 35763-9013
(256) 533-9733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1189
AL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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