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NPI Code Detail

MEDICARE: DR. JAYADEEP SRINIVAS VARANASI M.D.

MEDICARE:  DR. JAYADEEP SRINIVAS VARANASI  M.D.
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
1207RC0000XCardiovascular Disease Physician200100289NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1191261OTHERNCMEDCOST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3808208OTHERNCPARTNERS
41301HOTHERNCBCBS OF NC

General Provider Information

NPI Number : 1356355648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAYADEEP SRINIVAS VARANASI M.D.
Provider Business Mailing Address
First Line : PO BOX 14883
Second Line :
City : GREENSBORO
State : NC
Zip : 27415-4883
Country : US
Telephone Number : 336-275-4096
Fax Number : 336-274-5021
Provider Business Practice Location Address
First Line : 1126 N CHURCH ST STE 300
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1037
Country : US
Telephone Number : 336-938-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2006
Last Update Date : 08/16/2023

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