Healthcare Provider Details

I. General information

NPI: 1841931540
Provider Name (Legal Business Name): THOMAS CHANDY VARKEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 NW 14TH ST STE 609
MIAMI FL
33136-2117
US

IV. Provider business mailing address

1120 NW 14TH ST STE 1383
MIAMI FL
33136-2107
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6732
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME179836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: