Basic Information
Provider Information
NPI: 1518074251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VAROSY
FirstName: PAUL
MiddleName: DONALD
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1055 CLERMONT ST
Address2: CARDIOLOGY SECTION (111B)
City: DENVER
State: CO
PostalCode: 802203808
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber: 3033935054
Practice Location
Address1: 1700 WHEELING ST # 111B
Address2:  
City: AURORA
State: CO
PostalCode: 800457211
CountryCode: US
TelephoneNumber: 7207236061
FaxNumber: 7207237839
Other Information
ProviderEnumerationDate: 08/25/2006
LastUpdateDate: 08/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0001XA65927CAN Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207RC0001X48091COY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

ID Information
IDTypeStateIssuerDescription
5150058205CO MEDICAID


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