Healthcare Provider Details

I. General information

NPI: 1225304926
Provider Name (Legal Business Name): MEHA VARMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11125 ROCKVILLE PIKE STE 110
ROCKVILLE MD
20852-3142
US

IV. Provider business mailing address

11125 ROCKVILLE PIKE STE 110
ROCKVILLE MD
20852-3142
US

V. Phone/Fax

Practice location:
  • Phone: 301-984-3100
  • Fax: 301-984-3130
Mailing address:
  • Phone: 301-984-3100
  • Fax: 301-984-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.125990
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0082730
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD82730
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: