VARUN MITROO MD NPI 1336222025

NPI Information

NPI: 1336222025
Provider Name: VARUN MITROO, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1867 E FIR AVE
SUITE 104
FRESNO, CA
ZIP 93720
Phone: (559) 325-5800
Get Directions

Varun Mitroo, MD is a diagnostic radiology radiology in Fresno, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Varun Mitroo, MD NPI is 1336222025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1867 E FIR AVE
SUITE 104
FRESNO, CA
ZIP 93720-808
Phone: (559) 325-5800

The NPI 1336222025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	MD417151	PENNSYLVANIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	C52806	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0186159703	OTHER	PENNSYLVANIA	AMERICHOICE
2	H00210	MEDICARE UPIN	PENNSYLVANIA
3	054707	MEDICARE PIN	PENNSYLVANIA
4	132565	OTHER	PENNSYLVANIA	BLUE SHIELD PA
5	2634635	OTHER	PENNSYLVANIA	AETNA
6	0018615970001	MEDICAID	PENNSYLVANIA
7	2018747000	OTHER	PENNSYLVANIA	KEYSTONE HEALTHPLAN EAST
8	300131288	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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