Provider Demographics
NPI:1447706734
Name:OPTIMAL HEALTH MANAGEMENT, LLC
Entity type:Organization
Organization Name:OPTIMAL HEALTH MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:B
Authorized Official - Last Name:VARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MS
Authorized Official - Phone:860-691-3389
Mailing Address - Street 1:30 PLUM HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1466
Mailing Address - Country:US
Mailing Address - Phone:860-691-3389
Mailing Address - Fax:
Practice Address - Street 1:30 PLUM HILL ROAD
Practice Address - Street 2:
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1466
Practice Address - Country:US
Practice Address - Phone:860-691-3389
Practice Address - Fax:203-440-9288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042765207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty