Organization
SHIBU VARUGHESE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIBU VARUGHESE (PRESIDENT)
(954) 824-1922
Entity
Organization
Contact information
Practice address
9850 STIRLING RD STE 102, COOPER CITY, FL 33024-8068
(954) 842-1922
(504) 309-4193
Mailing address
12575 STONEWAY CT, DAVIE, FL 33330-1215
(718) 619-0037
(504) 309-4193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME104707
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
Other
Enumeration date
10/14/2009
Last updated
09/15/2025
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