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Individual

EBIE VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
395 N SILVERBELL RD STE 209, TUCSON, AZ 85745-2719
(520) 623-2642
(520) 623-6162
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6100

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35839
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
711673
AZ
Enumeration date
01/05/2007
Last updated
06/19/2012
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