Individual
DR. MINI VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6006
Mailing address
1270 STUMP RD, SOUTHAMPTON, PA 18966-4530
(215) 364-0262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
Primary
MD451739
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2008
Last updated
10/22/2024
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