Sudhir K Varma, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

ME78514 Issued in FL

Practice address

1555 Saxon Blvd Ste 502
Deltona, FL 32725-5869

Phone

(386) 574-1481

Fax

(386) 574-8812

NPI assigned

Apr 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Brevard Community Pathology Services LLC

  • Clinical Medical Laboratory
  • Deltona, FL
  • NPI 1295879674
  NPD (past) Authorized official

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1972000990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SAXON BLVD STE 502",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255869",
            "telephone_number": "386-574-1481",
            "fax_number": "386-574-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SAXON BLVD STE 502",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327255869",
            "telephone_number": "386-574-1481",
            "fax_number": "386-574-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARMA",
        "first_name": "SUDHIR",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "ME78514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME78514",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loyda C Valdes Lopez, CHIROPRACTOR
• Jaiden Valdetero, RBT
• Adrienne Nicole Van Es, M.A.
• Matt Van Singel
• Victoria Vanderford
• Heavenly Vasquez
• Maria Olimpia Vazquez
• Andres F Velasco, MD
• Melissa Veliz
• Robert Miguel Vento, MS,MFT

• Clinical Pathology/Laboratory Medicine Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.