Healthcare Provider Details

I. General information

NPI: 1215112537
Provider Name (Legal Business Name): RITU VARMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2008
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6128 BRANDON AVE STE 208210
SPRINGFIELD VA
22150-2640
US

IV. Provider business mailing address

2296 OPITZ BLVD STE 110-120
WOODBRIDGE VA
22191-3300
US

V. Phone/Fax

Practice location:
  • Phone: 301-659-0003
  • Fax:
Mailing address:
  • Phone: 301-659-0003
  • Fax: 301-829-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number0101256168
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberD0074259
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number0101256168
License Number StateVA
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0074259
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number0101256168
License Number StateVA
# 6
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberD0074259
License Number StateMD
# 7
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberDO007459
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: