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NPI Code Detail

MEDICARE: SAI VARANASI M.D.

MEDICARE: SAI 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
1208600000XSurgery Physician238219-1NY
2208600000XSurgery Physician052254CT

General Provider Information

NPI Number : 1568448207
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAI VARANASI M.D.
Provider Business Mailing Address
First Line : 41 BREWSTER RD
Second Line :
City : BRISTOL
State : CT
Zip : 06010-5161
Country : US
Telephone Number : 860-585-3000
Fax Number :
Provider Business Practice Location Address
First Line : 41 BREWSTER RD
Second Line :
City : BRISTOL
State : CT
Zip : 06010-5161
Country : US
Telephone Number : 860-585-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 12/07/2017

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