MEDICARE: VARSHA S KARAMCHANDANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	4301074413	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	05446190	OTHER	ECFMG
3	5315011764	OTHER	CONTROLLED SUBSTANCE

General Provider Information

NPI Number	:	1184616542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VARSHA S KARAMCHANDANI MD

Provider Business Mailing Address
First Line	:	2312 HAVERFORD DR
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48098-2382
Country	:	US
Telephone Number	:	248-560-7603
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 BARCLAY CIR
Second Line	:	MINDFUL WELLNESS CENTER, PLLC
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5820
Country	:	US
Telephone Number	:	248-560-7603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	10/23/2012

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