Justin Varghese
Internal Medicine in Richmond, IN. Individual provider (NPI-1).
NPI number1003136367
StatusActive
Last updated in NPPESNov 1, 2021
Details
- NPI
- 1003136367
- Entity type
- Individual (NPI-1)
- Name
- Justin Varghese
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2010
- Certification date
- Oct 15, 2021
- Last updated
- Nov 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01077384A | IN | Yes |
| 207R00000X | Internal Medicine | 25429 | WV | |
| 207R00000X | Internal Medicine | 4301096387 | MI |
Practice location
1100 Reid PkwyRichmond, IN 47374-1157
Phone 765-983-3000
Mailing address
1100 Reid ParkwayMedical Staff Services
Richmond, IN 47374
Phone 765-935-8802 · Fax 765-983-3219
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