Healthcare Provider Details

I. General information

NPI: 1396032215
Provider Name (Legal Business Name): VARUNI RAO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 DALLAS PKWY # 100
PLANO TX
75024-3529
US

IV. Provider business mailing address

6201 DALLAS PKWY # 100
PLANO TX
75024-3529
US

V. Phone/Fax

Practice location:
  • Phone: 972-403-8184
  • Fax: 972-403-0685
Mailing address:
  • Phone: 972-403-8184
  • Fax: 972-403-0685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberQ8130
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: