Individual
SANJU ANDREW VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2205 N LIMESTONE ST, SPRINGFIELD, OH 45503-2675
(937) 322-7521
(937) 322-4047
Mailing address
2205 N LIMESTONE ST, SPRINGFIELD, OH 45503-2675
(937) 322-7521
(937) 322-4047
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35087993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2661132
—
OH
Enumeration date
06/19/2006
Last updated
04/07/2021
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