Individual
JAI VARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, CARDIOLOGY SECTION, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5686
Mailing address
8150 N CENTRAL EXPY, STE M1001, DALLAS, TX 75206-1884
(318) 675-7636
(318) 675-5686
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
201395
LA
207RI0011X
Interventional Cardiology Physician
Primary
P4124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018856
—
LA
01
—
4K583F600
MEDICARE - PTAN
LA
Enumeration date
04/24/2007
Last updated
03/08/2023
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