Individual
TONY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-4700
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
38225
OK
Other
Enumeration date
05/22/2020
Last updated
02/12/2022
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