MEDICARE: DR. RAKESH VARMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	L.4648SP	AL
2	2085R0202X	Diagnostic Radiology Physician	V0900	TX
3	2085R0202X	Diagnostic Radiology Physician	ME176540	FL

General Provider Information

NPI Number	:	1053551333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAKESH VARMA MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5323 HARRY HINES BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8896
Country	:	US
Telephone Number	:	214-648-8920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	09/15/2025

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