Individual
DIANA GRACE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(870) 262-1200
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 868-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-10724
AR
390200000X
Student in an Organized Health Care Education/Training Program
223452311
NJ
Other
Enumeration date
03/25/2014
Last updated
03/19/2021
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