Individual
ROY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 KATE IRELAND DR, HYDEN, KY 41749
(606) 672-2901
(606) 672-3626
Mailing address
130 KATE IRELAND DR, HYDEN, KY 41749
(606) 672-2901
(606) 672-3626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18866
KY
207RI0200X
Infectious Disease Physician
18866
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051979
BLUE CROSS BLUE SHIELD
KY
01
—
020082000
DEPARTMENT OF LABOR
KY
01
—
110172171
RAILROAD MEDICARE
KY
01
—
1114590
PASSPORT
KY
01
—
1532292
UMWA/FUNDS
KY
01
—
164134000
FEDERAL WORKERS COMP
KY
05
—
64188667
—
KY
Enumeration date
01/25/2006
Last updated
05/27/2008
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