Provider Demographics
NPI:1215915434
Name:CHOUDHARY, VARUN (MD)
Entity type:Individual
Prefix:DR
First Name:VARUN
Middle Name:
Last Name:CHOUDHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11621 NORWICH PKWY
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-3414
Mailing Address - Country:US
Mailing Address - Phone:804-364-4670
Mailing Address - Fax:
Practice Address - Street 1:7501 BOULDER VIEW DR
Practice Address - Street 2:SUITE 601
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-4062
Practice Address - Country:US
Practice Address - Phone:804-520-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012360632084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry