Provider Demographics
NPI:1992719959
Name:NAGARSENKER, VARSHA (MD)
Entity type:Individual
Prefix:
First Name:VARSHA
Middle Name:
Last Name:NAGARSENKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 E. 75TH STREET
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:740 W GREEN MEADOWS DR
Practice Address - Street 2:SUITE 105
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-3097
Practice Address - Country:US
Practice Address - Phone:317-318-7777
Practice Address - Fax:317-318-7700
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060380A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000379338OtherANTHEM
IN200531750Medicaid
INP00292394OtherRR MEDICARE
INP00966978OtherRR MEDICARE PIN
INM400018554Medicare PIN
IN000000379338OtherANTHEM
IN200531750Medicaid
INM400018559Medicare PIN
INM400018557Medicare PIN
INP00966978OtherRR MEDICARE PIN
INI42172Medicare UPIN
INM400018556Medicare PIN
IN148310TMedicare PIN
INM400037979Medicare PIN