MEDICARE: DR. ANJALI VARDE D.O.

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	207Q00000X	Family Medicine Physician	K7931	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0040HB	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1619956422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANJALI VARDE D.O.

Provider Business Mailing Address
First Line	:	8200 WEDNESBURY LN
Second Line	:	STE #495
City	:	HOUSTON
State	:	TX
Zip	:	77074-2925
Country	:	US
Telephone Number	:	713-484-5974
Fax Number	:	713-484-5518

Provider Business Practice Location Address
First Line	:	8200 WEDNESBURY LN
Second Line	:	STE #495
City	:	HOUSTON
State	:	TX
Zip	:	77074-2925
Country	:	US
Telephone Number	:	713-484-5974
Fax Number	:	713-484-5518

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	05/26/2022

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