Provider Demographics
NPI:1285897736
Name:MONGA, VARUN VIJAY KUMAR (MBBS, MD)
Entity type:Individual
Prefix:DR
First Name:VARUN
Middle Name:VIJAY KUMAR
Last Name:MONGA
Suffix:
Gender:M
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:VARUN
Other - Middle Name:
Other - Last Name:MONGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE, C-32 GH
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1007
Mailing Address - Country:US
Mailing Address - Phone:319-356-2075
Mailing Address - Fax:319-353-8383
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE, C-32 GH
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1007
Practice Address - Country:US
Practice Address - Phone:319-356-2075
Practice Address - Fax:319-353-8383
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125052445207R00000X
IA39625207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine