| Dr Sujit R Varma Inc | |
|
6525 Drew Ave S Edina MN 55435-2103 | |
| (952) 920-6748 | |
| (952) 920-3863 |
| Full Name | Dr Sujit R Varma Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6525 Drew Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Bev Krieg (OFFICE MANAGER) |
| Authorized Official Contact | 9529206748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sujit R Varma Inc 6525 Drew Ave S Edina MN 55435-2103 Ph: (952) 920-6748 | Dr Sujit R Varma Inc 6525 Drew Ave S Edina MN 55435-2103 Ph: (952) 920-6748 |
| NPI Number | 1194098053 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/22/2012 |
| Medicare PECOS PAC ID | 1254585599 |
|---|---|
| Medicare Enrollment ID | O20130213000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194098053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 48076 (Minnesota) | Primary |
| Provider Name | Sujit R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013018258 PECOS PAC ID: 0840224002 Enrollment ID: I20050927000227 |
| Provider Name | Harvey J Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518023829 PECOS PAC ID: 4587748199 Enrollment ID: I20080220000718 |
| Provider Name | Piyush Das |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265639140 PECOS PAC ID: 7214060763 Enrollment ID: I20100804000287 |
| Provider Name | Lana L Abboud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316340128 PECOS PAC ID: 8820311897 Enrollment ID: I20200409000339 |
| Provider Name | Michaelina Afi Bamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396357786 PECOS PAC ID: 9436561834 Enrollment ID: I20210205000863 |
| Provider Name | Tracy Kimberly Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295447894 PECOS PAC ID: 0648645895 Enrollment ID: I20230331001629 |
| Provider Name | Nicole Mislivec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245019231 PECOS PAC ID: 8820434947 Enrollment ID: I20240312002173 |
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