Individual
DR. JOHN VARKEY PUTHENVEETIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1041 NOELL LN STE 105, ROCKY MOUNT, NC 27804-2055
(252) 451-2700
(252) 451-2702
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17136
NC
207RC0000X
Cardiovascular Disease Physician
17136
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110183301
MEDICARE RAILROAD
NC
01
—
69545
BCBS
NC
05
—
8969545
—
NC
01
—
NC5040G818
INTERNAL MEDICINE CARDIOVASCULAR DISEASE
NC
Enumeration date
03/07/2006
Last updated
08/09/2021
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