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NPI Code Detail

MEDICARE: VARATHARAJAN LINGAM DPT

MEDICARE:   VARATHARAJAN  LINGAM  DPT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1295201911
Entity Type Code : Individual
Provider Name (Legal Business Name) : VARATHARAJAN LINGAM DPT
Provider Business Mailing Address
First Line : 206 BLACK CHERRY LN
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49015-7627
Country : US
Telephone Number : 609-775-5974
Fax Number :
Provider Business Practice Location Address
First Line : 6120 STADIUM DR
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-3022
Country : US
Telephone Number : 800-379-1600
Fax Number : 269-372-9555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2018
Last Update Date : 10/19/2018

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Directions to “ VARATHARAJAN LINGAM DPT” Practice Location

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