Individual
MS. BETTY RACHEL VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 PROGRESS POINT CT, O FALLON, MO 63368-2208
(636) 344-1151
(636) 344-1176
Mailing address
2 PROGRESS POINT CT, O FALLON, MO 63368-2208
(636) 344-1151
(636) 344-1176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005021815
MO
207Q00000X
Family Medicine Physician
2005021815
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
IL
05
—
204924807
—
MO
Enumeration date
06/04/2007
Last updated
12/21/2024
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