Provider Demographics
NPI:1679703599
Name:VARMA, NAMRATA (DO)
Entity type:Individual
Prefix:
First Name:NAMRATA
Middle Name:
Last Name:VARMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 E WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4507
Mailing Address - Country:US
Mailing Address - Phone:562-427-0550
Mailing Address - Fax:562-988-8899
Practice Address - Street 1:433 E WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4507
Practice Address - Country:US
Practice Address - Phone:562-427-0550
Practice Address - Fax:562-988-8899
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A14105207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology