Provider Demographics
NPI:1093367245
Name:VARKEY, MAYA SUSAN (NP)
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:SUSAN
Last Name:VARKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8119 CHEYENNE HILLS TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1626
Mailing Address - Country:US
Mailing Address - Phone:773-430-5838
Mailing Address - Fax:
Practice Address - Street 1:8119 CHEYENNE HILLS TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1626
Practice Address - Country:US
Practice Address - Phone:773-430-5838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine