Organization Active NPI

Dr Varandani & Associates Incorporated

  • Family Nurse Practitioner
  • Pennington Gap, VA
National Provider Identifier
1891752945
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DR VARANDANI & ASSOCIATES INCORPORATED
Practice address
1119 Lake St
Pennington Gap, VA 24277
Phone
(276) 546-1182
Fax
(276) 546-2497
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Mr. Jai K Varandani, MD
Title
President
Phone
(226) 546-1182

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1119 Lake St
Pennington Gap, VA 24277

Mailing address

PO Box 187
Pennington Gap, VA 24277
Phone (276) 546-1182

Other identifiers 1

IdentifierTypeStateIssuer
007610378MedicaidVA

National Provider Directory

National Provider Directory

Locations

1119 Lake St
Pennington Gap, VA 24277
Phone (276) 546-1182

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1891752945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "24277",
            "telephone_number": "276-546-1182",
            "fax_number": "276-546-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 LAKE ST",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "24277",
            "telephone_number": "276-546-1182",
            "fax_number": "276-546-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VARANDANI & ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "VARANDANI",
        "authorized_official_first_name": "JAI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "226-546-1182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007610378",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.