Individual
GEORGE P VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1000
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
(816) 218-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014031270
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306822283
—
MO
01
—
970017225
RAILROAD MEDICARE
MD
01
—
970020622
RAILROAD
—
Enumeration date
12/21/2005
Last updated
05/17/2016
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