Basic Information
| Provider Information | |||||||||
| NPI: | 1952303489 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BILOLIKAR | ||||||||
| FirstName: | VARSHA | ||||||||
| MiddleName: | SURESH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1705 E 11TH ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787022709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129788400 | ||||||||
| FaxNumber: | 5129019726 | ||||||||
| Practice Location | |||||||||
| Address1: | 1705 E 11TH ST | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129788400 | ||||||||
| FaxNumber: | 5129019726 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2005 | ||||||||
| LastUpdateDate: | 06/29/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 4301076775 | MI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 036117361 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | R2815 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.