Dr Surendran Raja Raja Varma, MD | |
625 Clark Ave, Bristol, CT 06010-4068 | |
(860) 583-7700 | |
(860) 589-7656 |
Full Name | Dr Surendran Raja Raja Varma |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 625 Clark Ave, Bristol, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891795316 | NPI | - | NPPES |
02592556 | Medicaid | NY | |
1891795316 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 232460 (New York) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | 043632 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bristol Hospital | Bristol, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Physicians Pc | 1355246950 | 217 |
Entity Name | Prohealth Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
Mailing Address | Practice Location Address |
---|---|
Dr Surendran Raja Raja Varma, MD 625 Clark Ave, Bristol, CT 06010-4068 Ph: (860) 583-7700 | Dr Surendran Raja Raja Varma, MD 625 Clark Ave, Bristol, CT 06010-4068 Ph: (860) 583-7700 |
Ronald S Green, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
Daniel Norman Smiley, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010 Phone: 860-583-9252 Fax: 860-585-9848 | |
Dr. Michael Owen Richards, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Brewster Rd, Bristol, CT 06010 Phone: 860-585-3000 | |
Michael Stephen Ptaszynski, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 25 Newell Rd, #d-25, Bristol, CT 06010 Phone: 860-314-6020 Fax: 860-314-6024 | |
Dr. Robert C Debiase, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Newell Rd, Suite D24, Bristol, CT 06010 Phone: 860-582-3235 Fax: 860-582-0692 | |
Dr. Nandini Ravindra Menon, M.D Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Maple St, Bristol, CT 06010 Phone: 860-584-8021 Fax: 860-584-9021 | |
Christopher Wakem, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 44 Brewster Road, Hem/oncology Dept., Level A, Bristol, CT 06010 Phone: 860-585-3000 Fax: 860-585-3907 |