Individual provider Active NPI

Subramanian Varadarajan, ANP-BC

  • Adult Health Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1235380015
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R120949 Issued in MD
Practice address
7030 Carroll Ave
2ND Floor
Takoma Park, MD 20912-4430
Phone
(240) 839-7133
NPI assigned
Oct 9, 2008
Last updated
Sep 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R120949 MD Primary

Addresses

Primary practice location

7030 Carroll Ave
2ND Floor
Takoma Park, MD 20912-4430

Mailing address

10309 Glenmore Dr
Adelphi, MD 20783-1202
Phone (301) 434-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1235380015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 GLENMORE DR",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207831202",
            "telephone_number": "301-434-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 CARROLL AVE",
            "address_2": "2ND FLOOR",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124430",
            "telephone_number": "240-839-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARADARAJAN",
        "first_name": "SUBRAMANIAN",
        "name_prefix": "Mr.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R120949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.