Healthcare Provider Details

I. General information

NPI: 1699303081
Provider Name (Legal Business Name): JAYASAI VENKATA VARRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3545 OLENTANGY RIVER RD STE 525
COLUMBUS OH
43214-3983
US

IV. Provider business mailing address

3545 OLENTANGY RIVER RD STE 525
COLUMBUS OH
43214-3983
US

V. Phone/Fax

Practice location:
  • Phone: 614-261-1900
  • Fax:
Mailing address:
  • Phone: 614-261-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number35.154677
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: