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NPI Code Detail

MEDICARE: G I VARAPRASATHAN MD A PROF CORP

MEDICARE: G I VARAPRASATHAN MD A PROF CORP
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184618829
Entity Type Code : Organization
Provider Name (Legal Business Name) : G I VARAPRASATHAN MD A PROF CORP
Provider Business Mailing Address
First Line : PO BOX 10076
Second Line :
City : VAN NUYS
State : CA
Zip : 91410-0076
Country : US
Telephone Number : 805-578-8300
Fax Number : 805-578-3911
Provider Business Practice Location Address
First Line : 1600 W AVENUE J
Second Line :
City : LANCASTER
State : CA
Zip : 93534-2814
Country : US
Telephone Number : 661-949-5611
Fax Number : 661-949-5904
Authorized Official
Title or Position : PRESIDENT
Name : G. I. VARAPRASATHAN
Credential : M.D.
Telephone Number : 661-949-5611
Provider Enumeration Date : 09/08/2005
Last Update Date : 10/28/2015

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