VARSHA S. REVANKAR M.D. NPI 1124196548

Internal Medicine in Bloomfield Hills, MI

About VARSHA REVANKAR

Varsha Revankar is a provider in Bloomfield Hills, MI with more than 24 years of experience. The NPI number assigned to this provider is 1124196548. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Varsha Revankar is registered with Medicare and accepts claims assignment.

NPI

1124196548

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name VARSHA S. REVANKAR M.D.
Provider Location Address42557 WOODWARD AVE STE 110 BLOOMFIELD HILLS, MI 48304 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address42557 WOODWARD AVE STE 110 BLOOMFIELD HILLS, MI 48304 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1994
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date12-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-28-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

VARSHA S. REVANKAR M.D.
42557 WOODWARD AVE
STE 110
BLOOMFIELD HILLS, MI
ZIP 48304
Phone: (248) 253-1468
Fax: (248) 253-1472
Get Directions

Mailing Address

VARSHA S. REVANKAR M.D.
42557 WOODWARD AVE
STE 110
BLOOMFIELD HILLS, MI
ZIP 48304
Phone: (248) 253-1468
Fax: (248) 253-1472

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.4301087980
License StateMI
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
497485210MEDICAID (05)MI
OTH000MEDICARE UPIN (02)
M89900072MEDICARE PIN (08)MI
700F375500OTHER (01)MI
VR087980OTHER (01)

Map Location


VARSHA S. REVANKAR M.D. address is 42557 WOODWARD AVE STE 110 BLOOMFIELD HILLS, MI 48304

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003871294DR. KIRITKUMAR CHHOTABHAI PATEL M.D.
Individual
Internal Medicine (Cardiovascular Disease)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1043562085 DANA VITANOVSKI-PETROVSKI NP
Individual
Nurse Practitioner42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1093091795 DAXESHKUMAR V PATEL PHARMD
Individual
Pharmacist42557 WOODWARD AVE SUITE #230
BLOOMFIELD HILLS, MI 48304
(248) 525-1327
1154633899DR. NISHTHA SAREEN
Individual
Internal Medicine (Cardiovascular Disease)42557 WOODWARD AVE STE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1295038586MRS. JENNIFER LUCILLE ROBINSON
Individual
Nurse Practitioner (Acute Care)42557 WOODWARD AVE STE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1295043842L R & V DRUGS, INC
Organization
Pharmacy (Community/Retail Pharmacy)42557 WOODWARD AVE SUITE # 230
BLOOMFIELD HILLS, MI 48304
(734) 335-0758
1295790483DR. RUSSELL T STEINMAN M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1306808175DR. MICHELE DEGREGORIO M.D.
Individual
Internal Medicine (Cardiovascular Disease)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1477518017DR. RANDALL LEE REHER M.D.
Individual
Internal Medicine (Cardiovascular Disease)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1508872110MS. ZARNA JINESH PATEL R.D., MPAS-PA-C
Individual
Physician Assistant42557 WOODWARD AVE STE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1548438740DR. AAREF BADSHAH M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)42557 WOODWARD AVE STE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1740473396CARDIOLOGY AND VASCULAR ASSOCIATES PC
Organization
Nurse Practitioner (Family)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1780609776DR. RAJIV NAIR M.D.
Individual
Internal Medicine (Cardiovascular Disease)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1902857469 KATHERINE J. ASHMORE N.P.
Individual
Nurse Practitioner (Gerontology)42557 WOODWARD AVE STE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1932337128 CINDY FUSCO MSN,ACNP-BC
Individual
Nurse Practitioner (Acute Care)42557 WOODWARD AVE STE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1942279260 TIMOTHY J. LAMB M.D.
Individual
Internal Medicine42557 WOODWARD AVE STE 110
BLOOMFIELD HILLS, MI 48304
(248) 253-1468
1962478743CARDIOLOGY AND VASCULAR ASSOCIATES PC
Organization
Internal Medicine42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170
1992767578DR. ABDUL RAHMAN HALABI M.D.
Individual
Internal Medicine (Cardiovascular Disease)42557 WOODWARD AVE SUITE 200
BLOOMFIELD HILLS, MI 48304
(248) 333-1170