Healthcare Provider Details

I. General information

NPI: 1750461000
Provider Name (Legal Business Name): USHA W VARMA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N EUTAW ST STE 308
BALTIMORE MD
21201-4648
US

IV. Provider business mailing address

821 N EUTAW ST STE 308
BALTIMORE MD
21201-4648
US

V. Phone/Fax

Practice location:
  • Phone: 410-581-8767
  • Fax: 410-581-9107
Mailing address:
  • Phone: 410-581-8767
  • Fax: 410-581-9107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberD0015066
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: