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General NPI Number Information
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NPI Number | 1023647112
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Entity Type | Individual
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Provider Name | ALEXANDER YURI VARZARI MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 5160 OCEAN HWY W
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City | SHALLOTTE
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State | NC
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Zip | 28470-4012
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Country | US
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Telephone | 910-332-3800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5105
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City | BELFAST
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State | ME
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Zip | 04915-5100
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Country | US
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Telephone | 910-332-3800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2024-00675
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2024-00675
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2024-00675
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License Number State | NC
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