Provider Demographics
NPI:1184616542
Name:KARAMCHANDANI, VARSHA S (MD)
Entity type:Individual
Prefix:
First Name:VARSHA
Middle Name:S
Last Name:KARAMCHANDANI
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 1:2312 HAVERFORD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2382
Mailing Address - Country:US
Mailing Address - Phone:248-560-7603
Mailing Address - Fax:
Practice Address - Street 1:75 BARCLAY CIR
Practice Address - Street 2:MINDFUL WELLNESS CENTER, PLLC
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5820
Practice Address - Country:US
Practice Address - Phone:248-560-7603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010744132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI465851110Medicaid
05446190OtherECFMG
5315011764OtherCONTROLLED SUBSTANCE
5315011764OtherCONTROLLED SUBSTANCE
MI0F36490013Medicare ID - Type Unspecified