Individual
DR. VARA P BONAGIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 MILNWOOD RD, FARMVILLE, VA 23901-0289
(434) 392-9000
(434) 392-9215
Mailing address
PO BOX R, FARMVILLE, VA 23901-0289
(434) 392-9000
(434) 392-9215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054184
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005865514
—
VA
01
—
110230281
RAILROAD MEDICARE
VA
01
—
2121348
MAMSI
VA
01
—
240277
SOUTHERN HEALTH
VA
01
—
244915
ANTHEM
VA
Enumeration date
07/27/2006
Last updated
03/01/2012
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