IndividualActive
Ajay Varadhan
NPI 1053179473 · Student in an Organized Health Care Education/Training Program · Evanston, IL
Provider details
- NPI number
- 1053179473
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Student, Health Care
Practice location
355 Ridge Ave
Evanston, IL 60202-3399
Phone: (847) 316-4000
Approximate (ZIP-level) locationGet directions
Mailing address
4 Deerfield Dr
Hawthorn Woods, IL 60047-6506
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.