Provider Demographics
NPI:1013576784
Name:VANKA, VARUN (MD)
Entity type:Individual
Prefix:
First Name:VARUN
Middle Name:
Last Name:VANKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:530 NE GLEN OAK AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61637-0001
Mailing Address - Country:US
Mailing Address - Phone:346-387-1275
Mailing Address - Fax:309-655-3297
Practice Address - Street 1:1800 NORTH CAPITOL AVENUE
Practice Address - Street 2:SUITE E371
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1218
Practice Address - Country:US
Practice Address - Phone:346-387-1275
Practice Address - Fax:346-387-1275
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN0109661B207RC0001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology