Individual
MR. VARGHESE EDATTUKAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 COLONIAL DR, WALNUT RIDGE, AR 72476-1410
(870) 886-5507
(870) 886-5632
Mailing address
PO BOX 83, 1300 CREASON ROAD, CORNING, AR 72422-0083
(870) 857-3399
(870) 857-9934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4370
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122364001
—
AR
Enumeration date
07/09/2006
Last updated
01/16/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us