Individual
JUSTIN VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 935-8802
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01077384A
IN
207R00000X
Internal Medicine Physician
25429
WV
207R00000X
Internal Medicine Physician
4301096387
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300032913
—
IN
Enumeration date
06/09/2010
Last updated
11/01/2021
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