Individual
JERRY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7141 SECURITY BLVD, BALTIMORE, MD 21244-1811
(443) 663-6000
(443) 663-6215
Mailing address
7141 SECURITY BLVD, BALTIMORE, MD 21244-1811
(443) 663-6000
(443) 663-6215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35085028
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2507755
—
OH
Enumeration date
01/09/2006
Last updated
06/08/2021
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