Provider Demographics
NPI:1194098053
Name:DR SUJIT R VARMA INC
Entity type:Organization
Organization Name:DR SUJIT R VARMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUJIT
Authorized Official - Middle Name:RAM
Authorized Official - Last Name:VARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-687-1724
Mailing Address - Street 1:4444 WEST 76TH STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5178
Mailing Address - Country:US
Mailing Address - Phone:612-746-7347
Mailing Address - Fax:612-746-7348
Practice Address - Street 1:4444 WEST 76TH STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5178
Practice Address - Country:US
Practice Address - Phone:612-746-7347
Practice Address - Fax:612-746-7348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN480762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty