Healthcare Provider Details

I. General information

NPI: 1821526773
Provider Name (Legal Business Name): VARUN HALANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2017
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date: 12/28/2017
Reactivation Date: 01/18/2018

III. Provider practice location address

1201 S GRAND BLVD
SAINT LOUIS MO
63104-1016
US

IV. Provider business mailing address

5899 PRESTON RD STE 1104
FRISCO TX
75034-9594
US

V. Phone/Fax

Practice location:
  • Phone: 314-257-8000
  • Fax:
Mailing address:
  • Phone: 214-807-7776
  • Fax: 214-807-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberW2072
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberW2072
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberW2072
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberW2072
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: