Varma, Surendran Raja Raja

Varma, Surendran Raja Raja is an individual health care provider with primary practice located at 625 Clark Ave , Bristol CT 06010-4068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Varma, Surendran Raja Raja can be contacted via phone (860) 583-7700.

Contact Information

Primary practice address
625 Clark Ave Bristol CT 06010-4068
Phone: (860) 583-7700
Fax: (860) 589-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 232460 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 043632 Connecticut

Profile Details

NPI number 1891795316
LBN Legal business name Varma, Surendran Raja Raja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated May 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891795316 NPPES
New York MEDICAID 02592556
New York MEDICAID 1891795316

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