Provider Demographics
NPI:1366757692
Name:VARAS GARCIA, SEBASTIAN (MD)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:
Last Name:VARAS GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SEBASTIAN
Other - Middle Name:
Other - Last Name:VARAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:602 E NOB HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-3534
Mailing Address - Country:US
Mailing Address - Phone:509-248-3334
Mailing Address - Fax:509-453-6144
Practice Address - Street 1:410 BIRCHWOOD AVE STE 200
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1783
Practice Address - Country:US
Practice Address - Phone:360-734-9233
Practice Address - Fax:360-738-8974
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243429207R00000X
WAMD60602339207R00000X, 207RN0300X
MEEC131052207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1366757692Medicaid