Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Balavittal Varanasi, MD

Individual provider Family Medicine Physician · NPI 1366419210

Dr. Balavittal Varanasi, MD is a Family Medicine Physician in Centralia, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

936 M L King Dr
Centralia, IL 62801-3058
Phone: (618) 532-6439
Fax: (618) 532-1549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-085451 (IL)

Record details

NPI number1366419210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 28, 2006
Last updated in NPPESJanuary 5, 2015

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