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NPI Code Detail

MEDICARE: JON VARDANYAN

MEDICARE: JON VARDANYAN
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
1207L00000XAnesthesiology Physician35.155204OH

General Provider Information

NPI Number : 1588304885
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON VARDANYAN
Provider Business Mailing Address
First Line : 1605 GREENWAY AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 SW ARCHER RD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32610-3003
Country : US
Telephone Number : 352-265-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 05/27/2026

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Directions to “ JON VARDANYAN ” Practice Location

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