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Individual

AJAY KURIAKOSE VARGHEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 CITYWEST BLVD, SUITE 200, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 233-1999
(972) 233-1999

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L7588
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
14427001
TX
05
164427001
TX
01
8K1191
BLUE CROSS
TX
01
P00073858
RR MEDICARE
TX
Enumeration date
01/30/2007
Last updated
03/08/2017
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