Individual
DR. ARUL VERGHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 CHURCHMAN AVE, SUITE 302, LOUISVILLE, KY 40215-1190
(502) 366-7317
(502) 366-7318
Mailing address
4402 CHURCHMAN AVE, SUITE 302, LOUISVILLE, KY 40215-1190
(502) 366-7317
(502) 366-7318
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35305
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35305
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000267046
ANTHEM BCBS
—
01
—
0007538298
AETNA
—
01
—
1171334
PASSPORT
—
01
—
244079000
PASSPORT ADVANTAGE
—
01
—
40090922000
HEALTH MANAGEMENT CO
—
01
—
64060353
KENPAC
—
05
—
64060353
—
KY
01
—
C3647401
HUMANA
—
01
—
P00162441
MEDICARE RAILROAD
—
Enumeration date
09/30/2006
Last updated
10/29/2020
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