Healthcare Provider Details

I. General information

NPI: 1386684314
Provider Name (Legal Business Name): VIKAS V. VARMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 07/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 WEST 57TH STREET 15TH FLOOR
NEW YORK NY
10019-2832
US

IV. Provider business mailing address

57 WEST 57TH STREET 15TH FLOOR
NEW YORK NY
10019-2832
US

V. Phone/Fax

Practice location:
  • Phone: 212-289-0700
  • Fax: 212-289-0171
Mailing address:
  • Phone: 212-289-0700
  • Fax: 212-289-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number250069-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number250069-1
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number250069
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: