Provider Demographics
NPI:1366569634
Name:VARATKAR, RAMA G (MSPT)
Entity type:Individual
Prefix:MS
First Name:RAMA
Middle Name:G
Last Name:VARATKAR
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 US HIGHWAY 202
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1449
Mailing Address - Country:US
Mailing Address - Phone:908-725-1144
Mailing Address - Fax:908-725-7173
Practice Address - Street 1:903 US HIGHWAY 202
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1449
Practice Address - Country:US
Practice Address - Phone:908-725-1144
Practice Address - Fax:908-725-7173
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01317900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
140091Medicare UPIN
IL203OtherBLUE CROSS PROV ID
113326OtherHEALTHLINK PROV ID
IL4117OtherHAMP PROV ID
140091Medicare UPIN