Provider Demographics
NPI:1760648406
Name:VARMA, SHALINI (MD)
Entity type:Individual
Prefix:
First Name:SHALINI
Middle Name:
Last Name:VARMA
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 1:7400 60TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-3545
Mailing Address - Country:US
Mailing Address - Phone:224-632-8900
Mailing Address - Fax:888-737-4070
Practice Address - Street 1:7400 60TH AVE STE B
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-3545
Practice Address - Country:US
Practice Address - Phone:224-632-8900
Practice Address - Fax:888-737-4070
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILMT41142084P0800X
WI528532084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry