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VARUN NANDAMUDI DO
NPI 1053165076
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 16, 2024PECOS Enrolled
4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Varun Nandamudi Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VARUN NANDAMUDI DO (NPI 1053165076) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053165076
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVARUN NANDAMUDICredential: DO
Location Address4201 SAINT ANTOINE ST STE 6ADetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-5147
Phone(313) 745-4627
Fax(313) 966-7305
Sole ProprietorNo
Enumeration DateApril 16, 2024
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1053165076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST STE 6A, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Varun Nandamudi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVNEET KAUR M S ARORA MD, MPH
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
ABDUL RASHEED BAHAR MD
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. PRANIT SUNKARA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (462) 731-3745
SHAHEENA RAHEEM
Internal Medicine
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. MARIAM EL-MAGBRI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
NOORULANN SHERWANI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
AHMAD KOFAHI MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627
DR. BRIANNA PAIGE DESA DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201
Wayne County (313) 745-4627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Varun Nandamudi's NPI number?

The NPI number for Varun Nandamudi is 1053165076. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Varun Nandamudi located?

Varun Nandamudi practices at 4201 Saint Antoine St Ste 6A, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Varun Nandamudi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Varun Nandamudi enrolled in Medicare?

Yes. Varun Nandamudi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Varun Nandamudi was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.