1760543540 NPI number — USHA VARMA MD

Table of content: USHA VARMA MD (NPI 1760543540)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760543540 NPI number — USHA VARMA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VARMA
Provider First Name:
USHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARORA
Provider Other First Name:
USHA
Provider Other Middle Name:
VARMA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1760543540
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4545 E 9TH AVE STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80220-3909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-331-0510
Provider Business Mailing Address Fax Number:
303-331-0511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4545 E 9TH AVE STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80220-3909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-331-0510
Provider Business Practice Location Address Fax Number:
303-331-0511
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  21489 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01214899 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 84106943401 . This is a "PACIFICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2245684011 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15295 . This is a "ROCKY MTN HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 84106943400 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0620942 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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