Provider Demographics
NPI:1528478492
Name:VARADI, NIMS (MD)
Entity type:Individual
Prefix:DR
First Name:NIMS
Middle Name:
Last Name:VARADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NIMROD
Other - Middle Name:
Other - Last Name:VARADI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2359 28TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14710 12TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-1715
Practice Address - Country:US
Practice Address - Phone:917-517-0157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD461908207R00000X
CT62062207R00000X
CT02062208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine