Individual
MRS. NISHA ROY VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 710, LOUISVILLE, KY 40202-5707
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
37290
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6406315900
—
KY
Enumeration date
11/03/2006
Last updated
06/07/2023
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