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Contact Information

RAJA G VARMA, MD
285 SILLS RD
BUILDING 10 SUITE A
EAST PATCHOGUE, NY11772-4869
 Phone: 631-627-8700
 Fax: 631-627-8707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAJA G VARMA · (Male)

NPI Number 1699775759
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 04/22/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 232713
  • NY Medicaid 02587204
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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