Dr Sujit R Varma Inc | |
4444 West 76th Street Suite 400 Edina MN 55435-5178 | |
(612) 746-7347 | |
(612) 746-7348 |
Full Name | Dr Sujit R Varma Inc |
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Speciality | Psychiatry & Neurology |
Location | 4444 West 76th Street, Edina, Minnesota |
Authorized Official Name and Position | Sujit Ram Varma (OWNER) |
Authorized Official Contact | 9526871724 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Sujit R Varma Inc 4444 West 76th Street Suite 400 Edina MN 55435-5178 Ph: (612) 746-7347 | Dr Sujit R Varma Inc 4444 West 76th Street Suite 400 Edina MN 55435-5178 Ph: (612) 746-7347 |
NPI Number | 1194098053 |
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Provider Enumeration Date | 02/22/2012 |
Last Update Date | 05/07/2024 |
Medicare PECOS PAC ID | 1254585599 |
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Medicare Enrollment ID | O20130213000613 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194098053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 48076 (Minnesota) | Primary |
Provider Name | Sujit R Varma |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1013018258 PECOS PAC ID: 0840224002 Enrollment ID: I20050927000227 |
Provider Name | Harvey J Green |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518023829 PECOS PAC ID: 4587748199 Enrollment ID: I20080220000718 |
Provider Name | Piyush Das |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20100804000287 |
Provider Name | Lana L Abboud |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316340128 PECOS PAC ID: 8820311897 Enrollment ID: I20200409000339 |
Provider Name | Michaelina Afi Bamah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396357786 PECOS PAC ID: 9436561834 Enrollment ID: I20210205000863 |
Provider Name | Tracy Kimberly Newman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295447894 PECOS PAC ID: 0648645895 Enrollment ID: I20230331001629 |
Provider Name | Nicole Mislivec |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245019231 PECOS PAC ID: 8820434947 Enrollment ID: I20240312002173 |
Provider Name | Xueyan Luo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760248090 PECOS PAC ID: 8820434756 Enrollment ID: I20240313002795 |
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