# DR. ANTO VARGHESE MALIAKKAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558376368
- **Gender:** Man
- **Credential:** M.D. H.M.D.C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 01042537A | IN | — |
| 207R00000X | Internal Medicine Physician | 0366083220 | IL | Yes |
| 207R00000X | Internal Medicine Physician | C54950 | CA | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | 01042537A | IN | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | 0366083220 | IL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | C54950 | CA | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 05/31/2023
