Provider Demographics
NPI:1144450271
Name:VARADARAJAN, RAMYA (MD)
Entity type:Individual
Prefix:DR
First Name:RAMYA
Middle Name:
Last Name:VARADARAJAN
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 1:625 DANE CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5639
Mailing Address - Country:US
Mailing Address - Phone:585-975-9080
Mailing Address - Fax:
Practice Address - Street 1:4701 OGLETOWN STANTON RD
Practice Address - Street 2:STE 2400
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2055
Practice Address - Country:US
Practice Address - Phone:585-975-9080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP59862207RH0003X
DEC10009282207RH0003X
MDD0070775207RH0003X
PAMD441021207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE188446ZBMAMedicare PIN
MDP00899095Medicare PIN
DEP00899095Medicare PIN
MD186408ZFMDMedicare PIN
PA198632QEGMedicare PIN