Healthcare Provider Details

I. General information

NPI: 1750778775
Provider Name (Legal Business Name): LAALASA VARANASI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE, B1 PLAZA LEVEL
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

400 PARNASSUS AVE, B1 PLAZA LEVEL
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2503
  • Fax: 415-353-2530
Mailing address:
  • Phone: 415-353-2503
  • Fax: 415-353-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA147373
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA147373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: